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CASE REPORT
Year : 2019  |  Volume : 14  |  Issue : 2  |  Page : 598-601

Resolution of papilledema associated with chiari I malformation with ventriculoperitoneal shunting


1 Department of Neurology and Ophthalmology, Hospital of the University of Pennsylvania, Pennsylvania, USA
2 Department of Neurosurgery, Hospital of the University of Pennsylvania, Pennsylvania, USA

Correspondence Address:
Neil Rainer Malhotra
Department of Neurosurgery, Hospital of the University of Pennsylvania, Pennsylvania
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_33_19

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Chiari malformation type 1 (CMI) usually presents with cervical pain and suboccipital headache, among other symptoms. Patients with CMI describe symptoms that are clearly correlated with CMI for an average of 3.1 years before diagnosis. We present a case of a patient with bilateral papilledema and CMI but with no long-standing CMI symptoms. She was initially diagnosed with a concussion but developed unremitting intense occipital headaches 4 days later which prompted an evaluation for an alternative diagnosis. Treatment of this case was ventriculoperitoneal shunting, which may serve as an alternative to posterior fossa decompression under certain circumstances.


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