Pearls Chiari malformation

1.80 percent of patients with cough headache have cm type 1 although only a minority of patients with cm 1 have cough headache. The degree of tonsillar herniation does not correlatevar pageTracker = _gat._getTracker( " UA-3639768-12 " ); pageTracker._initData(); pageTracker._trackPageview();2. Cm1 presents most often from ages 8 to 9 and from 31 to 463. Spinal cord syndrome occurs in 65 to 84 percent and includes weakness and sensory changes.4. Brain stem syndrome occurs in 22 to 38 percent and includes blurred vision, horizontal or downbeating nystagmus, and diplopia (upper) or hoarseness , dysphonia, dysarthria, dysphasia, vocal cord paralysis, palatal weakness and tongue atrophy ( lower).5. Cerebella symptoms occur in 11 percent with dyscoordination, ataxia and dysmetria6. Cortical symptom is rare 3 percent with brain fog, depression, generalized weakness and fatigue7. Even more rare systemic syndrome , two percent, have chest pain, sob, postural hypotension and syncope8 presenting symptoms include 82 to 90 percent have suboccipital headache, 78 to 81 percent have posterior neck pain, 60 to 67 have dizziness, 49 percent have nausea.Others with percentWeakness. 69Numbness 56Altered temperature sensation 52Unsteady 40Double vision 13Swallowing trouble 8Tinnitus. 7Dysarthria 3Dizzy.    3Hiccups. 19. Cin é mri phase contrast may show elevated high velocity jets upwards and other abnormalities of normal bidirectional csf flow. Technique ...
Source: neurologyminutiae - Category: Neurology Source Type: blogs