Chiari malformation type 1 in children, varied clinical manifestations

Chiari malformation type 1 in children, varied clinical manifestations

Chiari malformations type 1 is characterized by herniation of the hindbrain tissue below the foramen magnum. It's more frequently recognised now due to better imaging modalities. The symptoms are typically subtle and evolve slowly. These could be related to the compression of neural structures at the cranio-cervical junction. We describe 5 children diagnosed with Chiari 1 malformation over last 1 year. Clinical features varied from snoring to spastic quadriplegia. Symptoms improved after surgery in four children. These cases highlight the varied clinical spectrum associated with it.