Childhood Diseases

Posted by: Racoon | 2010-12-06


Re: concerned about 20 month old son

Dear Prof

my son had the MRI done on Friday, and we are very relieved that there is no tumor or abnormality of the pituitary. But, we were very distressed to learn that he has a Chiari I malformation with tonsillar descent with the cord being impressed on. Further, there was some abnormal signal of the deep posterior white matter, most likely due to hypoxic insult in utero or perinatally (he did stop breathing and became blue in the theatre just after being deliverd by c-section). So, the whole matter has now become more complicated. Our paed is not too concerned, but wants our son to see a neurosurgeon nevertheless - he does not have anyone specific in mind and wants me to find a suitable specialist (why I do not know). Can you please recommend someone?

Expert's Reply



Your paediatrician wants you to take your son to see a paediatric neurosurgeon becuaes of the Chiari I malformation and the other findings on the MRI. You have an appointment to see the endocrinologist this week which you should keep. Take the MRI report with you and the endocrinologist will probably refer you to the neurosurgeon at the Red Cross Children's Hospital directly.

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