Sclafani A P, DeDio R M, Hendrix R A
Department of Otolaryngology, New York Eye and Ear Infirmary, NY.
Ear Nose Throat J. 1991 Apr;70(4):208-12.
We have described the important clinical features and aspects of the Chiari-I malformations, with particular emphasis on Chiari-I malformation. Previously thought to be a rare finding with only minor significance, Chiari-I malformation is an important cause of a variety of symptoms, and will be diagnosed even more frequently as the use of MRI increases. The clinician must consider Chiari-I malformation in any patient with unexplained sensorineural hearing loss, headache, vertigo, ataxia, dysequilibrium, dysphagia or other cranial nerve symptom, especially if accompanied by more classic symptoms of this disorder, such as cervical pain or weakness.
我们已经描述了Chiari-I畸形的重要临床特征和方面，尤其着重于Chiari-I畸形。Chiari-I畸形以前被认为是一种罕见且意义不大的发现，现在却是多种症状的重要病因，并且随着磁共振成像（MRI）使用的增加，其诊断将会更加频繁。对于任何有不明原因的感音神经性听力损失、头痛、眩晕、共济失调、平衡失调、吞咽困难或其他颅神经症状的患者，临床医生都必须考虑Chiari-I畸形，特别是如果伴有该疾病更典型的症状，如颈部疼痛或无力。
