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Case Reports
. 2017 Oct 6;5(6):771-773.
doi: 10.3889/oamjms.2017.167. eCollection 2017 Oct 15.

Traumatic Transient Herniation Concomitant with Tonsillar Hemorrhagic Contusion in a Child

Ahmet Öğrenci  1 , Orkun Koban  1 , Murat Ekşi  2 , Onur Yaman  1 , Sedat Dalbayrak  1
Affiliations
Case Reports

Traumatic Transient Herniation Concomitant with Tonsillar Hemorrhagic Contusion in a Child

Ahmet Öğrenci et al. Open Access Maced J Med Sci. .

Abstract

Downward displacement of cerebellar tonsils more than 5 mm below the foramen magnum is named as Chiari type I malformation and named benign tonsillar ectopia if herniation is less than 3 mm. It does not just depend on congenital causes. There are also some reasons for acquired Chiari Type 1 and benign tonsillar ectopia/herniation. Trauma is one of them. Trauma may increase tonsillar ectopia or may be the cause of new-onset Chiari type 1. The relationship between the tonsil contusion and its position is unclear. We present a case of pediatric age group with tonsillar herniation with a hemorrhagic contusion. Only 1 case has been presented so far in the literature. A case with unilateral tonsil contusion has not been presented to date. We will discuss the possible reasons for taking the place of the tonsils to the above level of the foramen magnum in the follow-up period, by looking at the literature.

Keywords: Chiari type 1; benign tonsillar ectopia; cerebellar tonsillar haemorrhage; tonsillar contusion; tonsillar herniation.

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Figures

Figure 1
Figure 1
Cranial CT depicts tonsillar hemorrhagic contusion and tonsillar ectopia/herniation on sagittal image A) and on the axial image at the level of foramen magnum B). Sagittal T2-weighted cranial MRI shows that all intracranial structures are in place with no residual pathology C)
See this image and copyright information in PMC

References

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