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A 26-year-old woman with a Chiari-I malformation and intermittent symptoms of intracranial pressure elevation is described.Clinically,papilledema was accompanied by midperipheral retinal hemorrhages.Repeat computed tomographic scans and lumbar puncture showed normal results.Posterior fossa-directed magnetic resonance image scanning revealed the Chiari-I malformation.Intraventricular monitoring was necessary to demonstrate the marked but unsustained elevation of intracranial pressure. |
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