Guin P R
J Neurosurg Nurs. 1985 Feb;17(1):45-52. doi: 10.1097/01376517-198502000-00009.
Arnold-Chiari malformation (ACM) is a malformation of the cervico-medullary junction characterized by displacement of the cerebellar tonsils, the brainstem and the fourth ventricle into the upper cervical canal. The clinical presentation of this anomaly is largely dependent upon age at onset, associated pathology, and the presence of hydromyelia. Considerable controversy exists within the literature concerning pathogenesis, signs and symptoms, diagnosis, and successful treatment of Arnold-Chiari malformation. This article will examine these issues and discuss the nursing management of patients with this syndrome.
阿诺德-奇阿利畸形（ACM）是一种颈髓交界处的畸形，其特征是小脑扁桃体、脑干和第四脑室移位至颈椎管上部。这种异常的临床表现很大程度上取决于发病年龄、相关病理情况以及是否存在脊髓空洞症。关于阿诺德-奇阿利畸形的发病机制、体征和症状、诊断及成功治疗，文献中存在相当大的争议。本文将探讨这些问题，并讨论该综合征患者的护理管理。
