{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:30:49Z","timestamp":1754159449742,"version":"3.41.2"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Cough syncope, central sleep apnea (CSA), and Chiari type 1 malformations (CM1) with atlas assimilation are very rare in adults.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 48-year-old male taxi driver fainted. He was neurologically intact, but tested positive for mild sleep apnea confirmed by a polysonogram. The magnetic resonance imaging diagnosed a CM1 with syringomyelia and atlas occipitalization. The patient underwent an uneventful foramen magnum decompression\/C1 laminectomy and remained intact 7 years later.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>A 48-year-old male presented after fainting with cough syncope, CSA and a CM1; following foramen magnum decompression\/C1 laminectomy, the patient remained neurologically stable for the next 7 years.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_610_2025","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:23:44Z","timestamp":1753439024000},"page":"307","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cough syncope and central sleep apnea caused by CM1 with atlas assimilation in adult: An illustrative case"],"prefix":"10.25259","volume":"16","author":[{"given":"Daigo","family":"Aso","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Saiki Central Hospital, Saiki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisaaki","family":"Uchikado","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Uchikado Neuro-Spine Clinic, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehiro","family":"Makizono","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kurume University School of Medicine, Kurume, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kurume University School of Medicine, Kurume, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhiro","family":"Hata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Oita University Faculty of Medicine, Oita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"10.25259\/SNI_610_2025\/ref-1","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1007\/s00381-019-04302-0","article-title":"Role of sleep study in children with chiari malformation and sleep disordered breathing","volume":"35","author":"Abel","year":"2019","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_610_2025\/ref-2","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1093\/sleep\/zsx069","article-title":"Sleep-related breathing disorders in chiari malformation type 1: A prospective study of 90 patients","volume":"40","author":"Ferr\u00e9","year":"2017","journal-title":"Sleep"},{"key":"10.25259\/SNI_610_2025\/ref-3","first-page":"548","article-title":"A case of chiari type 1 malformation with severe central sleep apnea","volume":"1","author":"Koga","year":"2012","journal-title":"Ann Jpn Respir Soc"},{"key":"10.25259\/SNI_610_2025\/ref-4","doi-asserted-by":"crossref","first-page":"2069","DOI":"10.1007\/s10072-020-05017-w","article-title":"Cough syncope and hyperventilation-induced convulsion in chiari 1.5 malformation","volume":"42","author":"Sasaki","year":"2021","journal-title":"Neurol Sci"},{"key":"10.25259\/SNI_610_2025\/ref-5","doi-asserted-by":"crossref","first-page":"611","DOI":"10.3171\/2020.11.PEDS20574","article-title":"The efficacy of neurosurgical intervention on sleep-disordered breathing in pediatric patients with chiari malformation type I","volume":"27","author":"Voutsas","year":"2021","journal-title":"J Neurosurg Pediatr"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/cough-syncope-and-central-sleep-apnea-caused-by-cm1-with-atlas-assimilation-in-adult-an-illustrative-case\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cough-syncope-and-central-sleep-apnea-caused-by-cm1-with-atlas-assimilation-in-adult-an-illustrative-case\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:23:46Z","timestamp":1753439026000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cough-syncope-and-central-sleep-apnea-caused-by-cm1-with-atlas-assimilation-in-adult-an-illustrative-case\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,25]]},"references-count":5,"alternative-id":["10.25259\/SNI_610_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_610_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7,25]]},"article-number":"307"}}