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Its the mantra in new generations of young neurosurgeons. Merkens says, Maybe youve been doing fine for years, but now youve contracted pneumonia a couple of times and seem to have more trouble recovering. Merkens, it generally doesnt happen for the first time in adulthood.

Chiari brain stem compression is likely to cause sleep apnea or loss of respiratory drive. But neurosurgeons say that when youre starting to think about chiari brain stem compression, its a good idea to also check the shunt.

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