Chiari malformation and its correlation with orofacial disorders

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.15151

Keywords:

Arnold-Chiari Malformation; Trigeminal Neuralgia; Temporomandibular joint dysfunction syndrome.

Abstract

Introduction: Chiari malformation is the herniation of the cerebellar tissue through the foramen magnum, which can lead to a series of signs and symptoms that can qualitatively affect the life of the person with this syndrome. Because they have many symptoms, they can lead to incorrect diagnosis and treatment if there is not adequate knowledge. Objective: this study aims to correlate the orofacial clinical findings in patients with Chiari malformation and its differential diagnosis with TMD. Methodology: A literary review was carried out by crossing the selected descriptors in electronic search, found in the journals of the databases SCIELO, LILACS, SCOPUS and MEDLINE. Discussion: Chiari Malformation presents a group of congenital malformations that directly affect patients' quality of life. This condition may be associated with trigeminal neuralgia, but its exact mechanism is still not clearly understood. Magnetic resonance imaging is the gold standard imaging test for the diagnosis of this condition and the choice for the ideal therapy, both clinical and surgical management, should be correctly indicated in symptomatic patients, due to the chance, although rare, of possible spontaneous or complete resolution of tonsillar herniation. Conclusion: The clinical manifestations of Chiari Malformation are variable, and may present similarities and even be confused with other conditions of the stomatognathic system such as TMD. Thus, knowledge about its clinical manifestations is important, so that it can be correctly diagnosed and better treated.

References

Alperin, N., Loftus, J. R., Oliu, C. J., Bagci, A. M., Lee, S. H., Ertl-Wagner, B., Sekula, R., Lichtor, T. & Green, B. A. (2015). Imaging-Based Features of Headaches in Chiari Malformation Type I. Neurosurgery, 77(1), 96–103.

Andrade, A. M. C., Souza, D. M. B., Santos, L. R. S., Torres, L. M. N., Silva, M. A. F. & Fernandes, D. C. (2019). Cefaleia associada à DTM. Ciências Biológicas e de Saúde UNIT, 5 (3), 85-94.

Araújo, I. A., Amorim, E. F., Santana, L. M. M., Alencar, E. P., Araújo, M. I. A., & Fernandes, P. E. (2017). Malformação de Arnold-Chiari: Uma Revisão Bibliográfica. Journal of Medicine and Health Promotion, 2(3), 661–669.

Briganti, F., Leone, G., Briganti, G., Orefice, G., Caranci, F., & Maiuri, F. (2013). Spontaneous resolution of Chiari type I malformation. A case report and literature review. The Neuroradiology Journal, 26, 304–309.

Cedeño, E. W., Mora, B. H., Castañeda, J., Sola, J., Criollo, J., Torres, L., Negrete, G. & Lucas, G. (2018). Arnold Chiari tipo I y siringomielia en el adulto. Revista científica INSPILIP, 2 (1), 1–9.

de Arruda, J. A., Figueiredo, E., Monteiro, J. L., Barbosa, L. M., Rodrigues, C., & Vasconcelos, B. (2018). Orofacial clinical features in Arnold Chiari type I malformation: A case series. Journal of Clinical and Experimental Dentistry, 10(4), 378–382.

de Souza, R. M., Zador, Z., & Frim, D. M. (2011). Chiari malformation type I Related conditions. Neurological Research, 33(3), 278–284. https://doi.org/10.1179/016164111X12962202723922.

Duarte, M. L., Abreu, B. F. B. B., Prado, J. L. M. A., J., & Silva, M. Q. P. (2018). Dyke-Davidoff-Masson Syndrome and Chiari Type Ii Malformation Síndrome De Dyke-Davidoff-Masson E Malformação De Chiari Tipo Ii. Revista Brasileira de Neurologia, 54(4), 34–37.

Durai, R., Fernandes, C., & Ng, P. C. H. (2010). Arnold-Chiari malformation. British Journal of Hospital Medicine, 71(3), 173. https://doi.org/10.12968/hmed.2010.71.3.46986.

Felício, A. C., Godeiro, C. D. O., Borges, V., Silva, S. M. D. A., & Ferraz, H. B. (2007). Hemifacial spasm in a patient with neurofibromatosis and Arnold-Chiari malformation: A unique case association. Arquivos de Neuro-Psiquiatria, 65(3 B), 855–857. https://doi.org/10.1590/S0004-282X2007000500026

Frič, R., Ringstad, G., & Eide, P. K. (2019). Chiari-malformasjon type 1-diagnostikk og behandling. Tidsskrift for Den Norske Laegeforening, 139(10). https://doi.org/10.4045/tidsskr.18.0455.

Ganesh, D., Sagayaraj, B. M., Barua, R. K., Sharma, N., & Ranga, U. (2014). Arnold chiari malformation with spina bifida: A lost opportunity of folic acid supplementation. Journal of Clinical and Diagnostic Research, 8(12), OD01–OD03. https://doi.org/10.7860/JCDR/2014/11242.5335.

Holanda, M. M. A., Neto, B. F. C., Batista, L. L, Kuo, C.-H., Kitamura, M. A. P., & Valença, M. M. (2019). Lesión como malformación de Chiari secundaria a quiste aracnoidal de la cisterna cuadrigémina. Revista Chilena de Neurocirugía, 42(2), 141–143. https://doi.org/10.36593/rev.chil.neurocir.v42i2.114

Langridge, B., Phillips, E., & Choi, D. (2017). Chiari Malformation Type 1: A Systematic Review of Natural History and Conservative Management. World Neurosurgery, 104, 213–219. https://doi.org/10.1016/j.wneu.2017.04.082

McClugage, S. G., & Jerry Oakes, W. (2019). The Chiari I malformation. Journal of Neurosurgery: Pediatrics, 24(3), 217–226. https://doi.org/10.3171/2019.5.PEDS18382.

McVige, J. W., & Leonardo, J. (2015). Neuroimaging and the Clinical Manifestations of Chiari Malformation Type I (CMI). Current Pain and Headache Reports, 19(6), 4–9. https://doi.org/10.1007/s11916-015-0491-2.

Oliveira, N. F. C. D., Oliveira, R. C. C. D., & De Paula, J. M. (2011). Manifestações otoneurológicas tardia da malformação de Chiari I. International Archives of Otorhinolaryngology, 15(3), 382–384. https://doi.org/10.1590/s1809-48722011000300018.

Ortiz, L. P., Armas, A. A., Ramos, E. R., & Rodríguez, L. L. (2018). Un enfoque clínico e histórico de la Malformación de Chiari Tipo I en adultos. Rev. Medica Electron, 40(1), 144–158.

Poretti, A., Ashmawy, R., Garzon-Muvdi, T., Jallo, G. I., Huisman, T. A. G. M., & Raybaud, C. (2016). Chiari Type 1 Deformity in Children: Pathogenetic, Clinical, Neuroimaging, and Management Aspects. Neuropediatrics, 47(5), 293–307. https://doi.org/10.1055/s-0036-1584563.

Rydell, R. E. & Pulec, J. L. (1971). Arnold-Chiari Malformation. Arch Otolaryng, 94, 8 - 12.

Than, K. D., Sharifpour, M., Wang, A. C., Thompson, B. G., & Pandey, A. S. (2011). Chiari I malformation manifesting as bilateral trigeminal neuralgia: Case report and review of the literature. Journal of Neurology, Neurosurgery and Psychiatry, 82(9), 1058–1059. https://doi.org/10.1136/jnnp.2009.196121.

Vasconcelos, B.C.E., Barbosa, L.M., Monteiro, J.L.G.C., Gouveia, M.V.C., Caldas, L.C.B. (2015). Interface entre a síndrome de Chiari e a sintomatologia facial. J Braz Coll Oral Maxillofac Surg, 1(2), 503.

Zagzoog, N., & Reddy, K. (Kesh). (2019). Use of Minimally Invasive Tubular Retractors for Foramen Magnum Decompression of Chiari Malformation: A Technical Note and Case Series. World Neurosurgery, 128, 248–253. https://doi.org/10.1016/j.wneu.2019.04.094.

Zhao, J. L., Li, M. H., Wang, C. L., & Meng, W. (2016). A Systematic Review of Chiari I Malformation: Techniques and Outcomes. World Neurosurgery, 88, 7–14. https://doi.org/10.1016/j.wneu.2015.11.087.

Downloads

Published

11/05/2021

How to Cite

FIGUEIREDO, E. L. de; SILVA, C. P. da; SILVA, M. E. L. da .; SOUZA NETO, H. F. de; SOUZA, H. L. F. de; MELLO, H. J. M. e; LEÃO, J. C.; CARVALHO, A. de A. T. Chiari malformation and its correlation with orofacial disorders. Research, Society and Development, [S. l.], v. 10, n. 5, p. e41010515151, 2021. DOI: 10.33448/rsd-v10i5.15151. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15151. Acesso em: 22 nov. 2024.

Issue

Vol. 10 No. 5

Section

Health Sciences

License

Copyright (c) 2021 Eugênia Leal de Figueiredo; Carolina Pereira da Silva; Maria Emanuella Letícia da Silva; Heitor Ferreira de Souza Neto; Henrique Lima Ferreira de Souza; Hanna Janyne Meira e Mello; Jair Carneiro Leão; Alessandra de Albuquerque Tavares Carvalho

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.