Caranci Giovanni, Mercurio Alessio, Altieri Marta, Di Piero Vittorio
Department of Neurological Sciences, University of Rome La Sapienza, Rome, Italy.
Headache. 2008 Apr;48(4):625-7. doi: 10.1111/j.1526-4610.2007.01029.x. Epub 2008 Jan 11.
Arnold-Chiari type I malformations usually manifest clinically with short-lasting headaches typically involving the occipital-nuchal region and precipitated by the Valsalva maneuver, coughing, sudden postural change, or physical exertion. We describe the case of an adult patient who presented with symptomatic trigeminal neuralgia caused by an Arnold-Chiari type I malformation. Unlike previous cases, the malformation involved the trigeminal ophthalmic division alone.
I型阿诺德-奇亚里畸形通常临床上表现为短暂性头痛,典型地累及枕颈部区域,由瓦尔萨尔瓦动作、咳嗽、突然体位改变或体力活动诱发。我们描述了一例成年患者,其因I型阿诺德-奇亚里畸形导致症状性三叉神经痛。与既往病例不同,该畸形仅累及三叉神经眼支。