Chiari Type I malformation and upper airway obstruction in adolescents

A case of hypercapnic respiratory failure

“…Securing the airway by a tracheostomy or other local techniques prior to brain surgery is recommended in patients with a VCP due to CM1. This recommendation is based on data from case series, retrospective studies and expert opinions [ 7 , 8 ].…”

“…In some cases, the paralysis does even not improve after 1 year. The risk of irreversible damage is higher in adult patients than in children [ 7 , 8 ]. Thus, these patients have a high risk of acute respiratory failure after extubating if the airway is not secured.…”