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Contemporary Reviews in Sleep Medicine |

Sleep-Related Breathing Disorders and the Chiari 1 MalformationSRBD and Chiari 1 Malformation

Roberta M. Leu, MD
Author and Funding Information

From the Department of Pediatrics, Emory University; and Children’s Healthcare of Atlanta, Atlanta, GA.

CORRESPONDENCE TO: Roberta M. Leu, MD, Children’s Physician Group, Emory University - Division of Pulmonary, Allergy/Immunology, Cystic Fibrosis, Sleep and Apnea, 1605 Chantilly Dr NE, Ste 100, Atlanta, GA 30324; e-mail: Roberta.m.leu@emory.edu


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Chest. 2015;148(5):1346-1352. doi:10.1378/chest.14-3090
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The Chiari 1 malformation is characterized by > 5-mm herniation of the cerebellar tonsils through the foramen magnum. Consequent compression of the brain stem and nearby neuronal structures involved in respiratory control and maintenance of pharyngeal wall muscle tone may result in respiratory changes during sleep. These changes include respiratory failure and arrest, as well as sleep-related breathing disorders (ie, OSA and central sleep apnea). Although data have accrued on the significance of sleep-related breathing disorders in patients with the Chiari 1 malformation, many management questions remain unanswered. This article reviews the available literature on prevalence and management of sleep-related breathing disorders in patients with the Chiari 1 malformation.


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