Dental management of a child with Arnold-Chiari malformation: A case report
조상미, 이고은, 남옥형, 이효설, 최성철, 김광철, 김미선,
소속 상세정보
조상미 ( Jo Sang-Mi ) - Kyung Hee University Dental Hospital at Gangdong Department of Pediatric Dentistry
이고은 ( Lee Ko-Eun ) - Kyung Hee University Dental Hospital Department of Pediatric Dentistry
남옥형 ( Nam Ok-Hyung ) - Kyung Hee University Dental Hospital Department of Pediatric Dentistry
이효설 ( Lee Hyo-Seol ) - Kyung Hee University Dental Hospital Department of Pediatric Dentistry
최성철 ( Choi Sung-Chul ) - Kyung Hee University Dental Hospital Department of Pediatric Dentistry
김광철 ( Kim Kwang-Chul ) - Kyung Hee University Dental Hospital at Gangdong Department of Pediatric Dentistry
김미선 ( Kim Mi-Sun ) - Kyung Hee University Dental Hospital at Gangdong Department of Pediatric Dentistry
Abstract
Arnold-Chiari malformation is a displacement of the tonsils and posterior vermis of the cerebellum through the foramen magnum, compressing the spinomedullary junction. The most common presenting symptoms are headache, cervical pain, back pain, motor weakness, loss of balance, dysphasia, tinnitus, and dysarthria. Other less common symptoms include seizure, obstructive sleep apnea, deafness, numbness of the face, and cranial malformation. In the present case, an 11-year-old female was referred to Department of Pediatric Dentistry at Kyung Hee University Hospital by an ophthalmologist for dental caries on the molars. The patient was diagnosed with Arnold-Chiari malformation. She underwent posterior fossa decompression and cranioclasty at seven years of age. Clinical examination showed poor oral hygiene and dental caries on the maxillary right first molar and mandibular left first molar. Given the patient’s behavior problem, cavity treatment and prophylaxis were performed under conscious sedation for about 1h with nitrous oxide inhalation and midazolam intramuscular administration. In addition, continuous follow-up checks were carried out with periodic prophylaxis for the prevention of dental caries and gingivitis. As the syndrome involves many different medical problems, special care should be considered. Additionally, dental treatment should be carried out in a comprehensive consultation system.
키워드
Arnold-Chiari malformation; Midazolam; Paradoxical reaction
원문 및 링크아웃 정보
등재저널 정보