Headaches and Arnold-Chiari syndrome: when to suspect and how to investigate.

Current Pain and Headache Reports
Licia Grazzi, Frank Andrasik

Abstract

Migraine and tension-type headache are common clinical problems, occurring even at a young age. When patients report headache as a symptom, it is necessary to exclude a secondary headache induced by an organic disease. Proper diagnosis and management of headache depends on a thorough history review and comprehensive clinical examination. A Chiari malformation is one organic cause that should not be overlooked. A thorough clinical screening is always recommended, including a complete neurological, mental status and physical examination. However, when the symptom pattern suggests a Chiari malformation, neuroimaging is warranted to identify correctly the pathologic condition and the most appropriate therapeutic approach. This paper reviews this condition, the signs and symptoms suggestive of its presence and how to arrive a the proper diagnosis.

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Citations

May 15, 2015·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Rebecca FischbeinMichelle Renee Chyatte
Feb 12, 2020·British Medical Bulletin·Chiara De LucaHilde Van Esch
May 21, 2017·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Elena BerettaLaura G Valentini
May 29, 2021·Acta neurologica Belgica·Palma CiaramitaroDario Cocito

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