Type I Chiari Malformation as a cause of oropharyngeal dysph | 75788


Type I Chiari Malformation as a cause of oropharyngeal dysphagia. A case report

Author(s): Pedro Pascual, Aurora1; Sansano Algueró, Anna2; Mallol Badellino, Jordi 1; Ramírez Ruiz, Rosa Delia3; García Sánchez, Sonia María4; Peñalva Arigita, Amaya2; Martínez Castro, Elena1; Pizarro Serra, Sandra5

Introduction and objective: This article reviews an uncommon entity that may appear in Chiari malformation Type I, dysphagia, whose omission may exclude the diagnosis or attribute it to other pathology.

Patient: Young male with dyspnea and fever who reported 6 month’s evolution neck pain and progressive dysphagia. Suspecting aspiration pneumonia, a complete and directed medical history on the topographical areas that govern swallowing and a series of additional tests, to rule out other causes of dysphagia,were held. Cranial MRI confirmed the diagnosis of type I Chiari malformation. The patient was surgically intervened through suboccipital decompression. 6 months after surgery there was an improvement in neck pain and dysphagia disappeared.

Discussion: Dysphagia is an unusual symptom of type I Chiari malformation usually due to alteration by compression of the brainstem and/or to elongation of the lower cranial nerves. To achieve early diagnosis and proper treatment, the physical examination should be complete and directed over areas that govern swallowing, being MRI basic to establish causal diagnosis.

Conclusion: Diagnosis of Chiari malformation or other causes of lower cranial nerves impairment must be kept in mind in patients with dysphagia of uncertain origin.

Web of Science


2022 CiteScore

14th percentile
SCImago Journal & Country Rank
Awards Nomination
Google Scholar citation report
Citations : 2439

Clinical Nutrition and Hospital Dietetics received 2439 citations as per google scholar report

Indexed In
  • Google Scholar
  • Open J Gate
  • Genamics JournalSeek
  • Academic Keys
  • JournalTOCs
  • ResearchBible
  • Ulrich's Periodicals Directory
  • Access to Global Online Research in Agriculture (AGORA)
  • Electronic Journals Library
  • RefSeek
  • Hamdard University
  • OCLC- WorldCat
  • SWB online catalog
  • Virtual Library of Biology (vifabio)
  • Publons
  • MIAR
  • Geneva Foundation for Medical Education and Research
  • Euro Pub
  • Web of Science

Manuscript Submission

Submit your manuscript at

Journal Highlights
  • Blood Glucose
  • Dietary Supplements
  • Cholesterol, Dehydration
  • Digestion
  • Electrolytes
  • Clinical Nutrition Studies
  • energy balance
  • Diet quality
  • Clinical Nutrition and Hospital Dietetics