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Review
. 2019 May;29(2):243-253.
doi: 10.1016/j.nic.2019.01.005. Epub 2019 Feb 20.

Headache in Chiari Malformation

Affiliations
Review

Headache in Chiari Malformation

Abraham F Bezuidenhout et al. Neuroimaging Clin N Am. 2019 May.

Abstract

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.

Keywords: Chiari 1 malformation; Chiari malformation; Cough-associated headache; Headache.

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