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Chiari type I malformation

Presenting as chronic cough in older children

Authors

  • Kyle J. Chambers MD,

    Corresponding author
    1. Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, and Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
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  • Jennifer Setlur MD,

    1. Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, and Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
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  • Christopher J. Hartnick MD

    1. Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, and Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
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  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

To highlight an unusual cause of chronic cough, we present two cases of chronic cough in older children referred to a pediatric otolaryngology outpatient clinic with persistent symptoms despite extensive previous workup and treatment. Cranial neuropathy was identified in each case. As a result, magnetic resonance imaging was performed revealing Chiari type I malformation. In each case, surgical decompression provided symptom improvement. Chronic cough is a rare presenting symptom in children with Chiari type I malformation. We emphasize the significance of awareness for unusual cases of cough to aid in the correct identification and treatment in children. Laryngoscope, 123:2888–2891, 2013

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