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一名患有顽固性头痛的患者合并I型Chiari畸形和脊髓空洞症。

Combined Chiari Malformation Type I and Syringohydromyelia in a Patient With Intractable Headache.

作者信息

Trivedi Dhaval, Jahangir Byasha, Hasan Sara, Fenton Franklyn

机构信息

Internal Medicine, New York Presbyterian-Brooklyn Methodist Hospital, Brooklyn, USA.

出版信息

Cureus. 2024 Jun 25;16(6):e63127. doi: 10.7759/cureus.63127. eCollection 2024 Jun.

DOI:10.7759/cureus.63127
PMID:39055466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11271815/
Abstract

Chiari malformations (CM) are a spectrum of hindbrain abnormalities involving the cerebellum, brainstem, skull base, and cervical cord. The most common is Chiari I malformation, in which the cerebellar tonsils descend through the foramen magnum. As opposed to types II-IV, which are congenital, type I can manifest in late childhood or adulthood with headaches and focal neurological symptoms. It can be caused by genetic variation, conditions that alter the basal skull or increase intracranial pressure, and even injury. Syringohydromyelia (SHM) is a neurological disorder characterized by longitudinal dilation of the central canal of the spinal cord with accumulated cerebrospinal fluid. This case report demonstrates a 35-year-old male with headaches, neck pain, back pain, and paresthesias who was found to have CM type-I malformation and syringohydromyelia.

摘要

Chiari畸形（CM）是一系列涉及小脑、脑干、颅底和颈髓的后脑异常。最常见的是Chiari I型畸形，其中小脑扁桃体通过枕骨大孔下降。与先天性的II-IV型不同，I型可在儿童晚期或成年期出现头痛和局灶性神经症状。它可能由基因变异、改变颅底或增加颅内压的情况甚至损伤引起。脊髓空洞症（SHM）是一种神经疾病，其特征是脊髓中央管纵向扩张并伴有脑脊液积聚。本病例报告展示了一名35岁男性，他有头痛、颈部疼痛、背痛和感觉异常，被发现患有I型Chiari畸形和脊髓空洞症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/37186346f9c9/cureus-0016-00000063127-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/8bb16ad3f72a/cureus-0016-00000063127-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/3082a259d295/cureus-0016-00000063127-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/d9afe14d9ca8/cureus-0016-00000063127-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/7008dd7c9ddc/cureus-0016-00000063127-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/329f273a75cd/cureus-0016-00000063127-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/d8ffaa218910/cureus-0016-00000063127-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/37186346f9c9/cureus-0016-00000063127-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/8bb16ad3f72a/cureus-0016-00000063127-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/3082a259d295/cureus-0016-00000063127-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/d9afe14d9ca8/cureus-0016-00000063127-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/7008dd7c9ddc/cureus-0016-00000063127-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/329f273a75cd/cureus-0016-00000063127-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/d8ffaa218910/cureus-0016-00000063127-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb95/11271815/37186346f9c9/cureus-0016-00000063127-i07.jpg

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