Chiari malformation type 1-related headache: the importance of a multidisciplinary study

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
Marcella CuroneG Bussone

Abstract

Chiari type 1 Malformation (CM 1) is a structural defect consisting of a displacement of the cerebellar tonsils through the foramen magnum causing obstruction of cerebrospinal fluid (CSF) outflow. CM 1 has a variety of presentation with headache being the most common symptom. The evaluation and treatment of headache related to CM 1 are often difficult, because the pain in the occipital-suboccipital region or headache that is of cough-type suggests symptomatic CM 1, but patients suffering from CM 1 can also report migraine or tension-type headache. In 2015 we started a collaborative project in which our group of neurologists, neurosurgeons and neuroradiologists contribute to create a Chiari Special Outpatient Service; this was set up to provide a multidisciplinary evaluation, treatment and follow-up of patient suffering from CM 1. 201 patients (58 males, 143 females) suffering from CM 1 were multidisciplinary evaluated. Headache characteristics, clinical features, and treatment of patients are discussed. Further progress in multidisciplinary care of headache and CM 1 should be performed to define guidelines.

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Citations

May 9, 2019·American Journal of Medical Genetics. Part a·Alberto VaronKatherina Walz
Nov 9, 2018·Current Opinion in Pediatrics·Adam M Olszewski, Mark R Proctor
May 11, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Alberto BalestrinoGianluca Piatelli
Feb 7, 2018·Headache·Randolph W Evans
May 29, 2021·Acta neurologica Belgica·Palma CiaramitaroDario Cocito

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