Headache in Chiari Malformation

被引：27

作者：

Bezuidenhout, Abraham F. ^{[1
]}

Chang, Yu-Ming ^{[1
]}

Heilman, Carl B. ^{[2
]}

Bhadelia, Rafeeque A. ^{[3
]}

机构：

[1] Beth Israel Deaconess Med Ctr, Dept Radiol, 1 Deaconess Rd, Boston, MA 02215 USA

[2] Tufts Med Ctr, Dept Neurosurg, 800 Washington St, Boston, MA 02111 USA

[3] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Radiol, 1 Deaconess Rd, Boston, MA 02215 USA

来源：

NEUROIMAGING CLINICS OF NORTH AMERICA | 2019年 / 29卷 / 02期

关键词：

Chiari malformation; Chiari; 1; malformation; Headache; Cough-associated headache; CEREBROSPINAL-FLUID FLOW; COUGH-ASSOCIATED CHANGES; I MALFORMATION; BLOOD-FLOW; CSF FLOW; PATHOPHYSIOLOGY;

D O I：

10.1016/j.nic.2019.01.005

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Headache is a common symptom in patients with Chiari I malformation (CMI), characterized by 5 mm or greater cerebellar tonsillar herniation below foramen magnum. Radiologists should be aware of the different types of headaches reported by CMI patients and which headache patterns are distinctive features of the diagnosis. A methodical imaging strategy is required to fully assess a CMI patient to exclude secondary causes of tonsillar herniation such as intracranial hypotension or associated conditions such as syrinx. Both anatomic and physiologic imaging can help determine if headaches are CMI associated, and assist clinicians in therapeutic decision making.

引用

页码：243 / +

页数：13

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