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Orofacial clinical features in Arnold Chiari type I malformation : a case series

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Orofacial clinical features in Arnold Chiari type I malformation : a case series

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dc.contributor.author Arruda, José A. es
dc.contributor.author Figueiredo, Eugênia es
dc.contributor.author Monteiro, João-Luiz es
dc.contributor.author Barbosa, Livia-Mirelle es
dc.contributor.author Rodrigues, Cleomar es
dc.contributor.author Vasconcelos, Belmiro Cavalcanti es
dc.date.accessioned 2018-05-23T09:27:02Z
dc.date.available 2018-05-23T09:27:02Z
dc.date.issued 2018 es
dc.identifier.citation Arruda, José A. ; Figueiredo, Eugênia ; Monteiro, João-Luiz ; Barbosa, Livia-Mirelle ; Rodrigues, Cleomar ; Vasconcelos, Belmiro Cavalcanti. Orofacial clinical features in Arnold Chiari type I malformation : a case series. En: Journal of Clinical and Experimental Dentistry, 10 4 2018: 378-382 es
dc.identifier.uri http://hdl.handle.net/10550/66369
dc.description.abstract Arnold Chiari malformation (ACM) is characterized by an anatomical defect at the base of the skull where the cerebellum and the spinal cord herniate through the foramen magnum into the cervical spinal canal. Among the subtypes of the condition, ACM type I (ACM-I) is particularly outstanding because of the severity of symptoms. This study aimed to analyze the orofacial clinical manifestations of patients with ACM-I, and discuss their demographic distribution and clinical features in light of the literature. A case series with patients with ACM-I treated between 2012 and 2015 was described. The sample consisted of patients who were referred by the Department of Neurosurgery to the Oral and Maxillofacial Surgery Service of Hospital da Restauração in Brazil for the assessment of facial symptomatology. A questionnaire was applied to evaluate the presence of painful orofacial findings. Data are reported using descriptive statistical methods. Mean patient age was 39.3 years and the sample consisted mostly of male patients. A high prevalence of headache (50%) and pain in the neck (66.7%) and masticatory muscles (50%) was found. Only one patient reported difficulty in performing mandibular movements and two reported jaw clicking sounds. Mean mouth opening was 40.83 mm. ACM-I patients may exhibit orofacial symptoms which may mimic temporomandibular joint disorders. This study brings interesting information that could help clinicians and oral and maxillofacial surgeons to understand this uncommon condition and also help with the diagnosis of patients with similar physical characteristics by referring them to a neurosurgeon. es
dc.title Orofacial clinical features in Arnold Chiari type I malformation : a case series es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/jced.54419 es
dc.type.hasVersion VoR es_ES

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