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成人Chiari畸形中的晕厥

Syncope in the adult Chiari anomaly.

作者信息

Dobkin B H

出版信息

Neurology. 1978 Jul;28(7):718-20. doi: 10.1212/wnl.28.7.718.

DOI:10.1212/wnl.28.7.718
PMID:566871
Abstract

A patient with an adult Chiari malformation had syncopal episodes induced by modest exertion. Low-amplitude slowing of the electroencephalogram occurred at the time of syncope, with no change in pulse rate, blood pressure, or arterial gases in attacks reproduced by exercise, compression of jugular veins or standardized Valsalva maneuver. The attacks were attributed to transient increases in intracranial pressure that caused dysfunction of the ascending reticular activating system.

摘要

一名患有成人型Chiari畸形的患者在适度运动时出现晕厥发作。晕厥时脑电图出现低幅减慢,在运动、压迫颈静脉或标准化瓦尔萨尔瓦动作诱发的发作中,脉搏率、血压或动脉血气无变化。发作归因于颅内压短暂升高,导致上行网状激活系统功能障碍。

相似文献

1
Syncope in the adult Chiari anomaly.成人Chiari畸形中的晕厥
Neurology. 1978 Jul;28(7):718-20. doi: 10.1212/wnl.28.7.718.
2
Hindbrain hernia headache and syncope in type I Arnold-Chiari malformation.I型阿诺德-奇亚里畸形中的后脑疝性头痛和晕厥
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'Sneeze syncope', basilar invagination and Arnold-Chiari type I malformation.“喷嚏性晕厥”、基底凹陷症与Ⅰ型阿诺德-奇亚里畸形
J Neurol Neurosurg Psychiatry. 1976 Apr;39(4):381-4. doi: 10.1136/jnnp.39.4.381.
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[Spontaneous syncope as the only sign of Arnold-Chiari type I malformations].[自发性晕厥作为Ⅰ型阿诺德-基亚里畸形的唯一体征]
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Orthostatic intolerance and syncope associated with Chiari type I malformation.与I型Chiari畸形相关的体位性不耐受和晕厥
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[Arnold-Chiari malformation and paroxysmal symptoms].
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Chiari type I presenting as left glossopharyngeal neuralgia with cardiac syncope.表现为左侧舌咽神经痛伴心脏性晕厥的Ⅰ型Chiari畸形。
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Cardiac arrest in a 31-year-old man because of the Arnold-Chiari malformation.
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[Headache and fainting as initial symptoms of syringomyelia associated to Arnold-Chiari and facial angiomatous nevus].[头痛和昏厥作为与阿诺德-基亚里畸形及面部血管瘤性痣相关的脊髓空洞症的初始症状]
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High levels of Cre expression in neuronal progenitors cause defects in brain development leading to microencephaly and hydrocephaly.神经祖细胞中高水平的Cre表达会导致大脑发育缺陷,进而引发小头畸形和脑积水。
J Neurosci. 2006 Sep 13;26(37):9593-602. doi: 10.1523/JNEUROSCI.2815-06.2006.
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Chronic hydrocephalus in adults.成人慢性脑积水
Brain Pathol. 2004 Jul;14(3):325-36. doi: 10.1111/j.1750-3639.2004.tb00072.x.
3
Chiari malformation in adults: relation of morphological aspects to clinical features and operative outcome.成人Chiari畸形:形态学特征与临床特征及手术结果的关系
J Neurol Neurosurg Psychiatry. 1993 Oct;56(10):1072-7. doi: 10.1136/jnnp.56.10.1072.
4
Simultaneous cerebral and spinal fluid pressure recordings. 2. Cerebrospinal dissociation with lesions at the foramen magnum.同时记录脑和脊髓液压力。2. 枕骨大孔处病变导致的脑脊液分离。
Acta Neurochir (Wien). 1981;59(1-2):123-42. doi: 10.1007/BF01411198.
5
Syncope as a presenting feature of hindbrain herniation with syringomyelia.晕厥作为伴有脊髓空洞症的后脑疝的一种表现特征。
J Neurol Neurosurg Psychiatry. 1982 Oct;45(10):919-22. doi: 10.1136/jnnp.45.10.919.
6
Headache caused by craniospinal pressure dissociation in the Arnold-Chiari-syringomyelia syndrome.阿诺德-基亚里畸形-脊髓空洞症综合征中颅脊髓压力分离所致的头痛
J Neurol. 1992 May;239(5):263-6. doi: 10.1007/BF00810349.