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Coordination function disorders and their evaluation in patients with Chiari malformation type 1

https://doi.org/10.14412/2074-2711-2012-420

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Abstract

To study a range of coordination disorders in Chiari malformation type 1 (CM1), a clinical examination and magnetic resonance imaging (MRI) were made in 73 patients (52 women and 21 men) aged 17 to 71 years with this disorder. Special tests were used to identify cerebellar and vestibular disorders. Vertigo was noted in 76.7% of the patients with CM1. The special tests revealed impaired coordination in the majority (93.1%) of the patients. Babinsky’s asynergy was the most common (52% of the patients) symptom of coordination disorders. The findings confirmed the high rate of coordination disorders in CM1 and the informative value of supplementary studies of cerebellar and vestibular functions along with routine evaluation of the neurological status.

About the Authors

D N Dunin

Department of Neurology and Rehabilitation


Elena Gennadyevna Mendelevich

Department of Neurology and Rehabilitation


References

1. <div><p>Bejjani G.K. Definition of the adult Chiari malformation: a brief historical overview. Neurosurg Focus 2001;11(1):1—8.</p><p>Galvez M.J.N., Rodrigo J.J.F., Liesa R.F. et al. Otorhinolaryngologic manifestations in Chiari Malformation. Am J Otol 2002;23(2):99-104.</p><p>Chung C. J., Castillo M., Fordham L. et al. Spinal Intradural Cerebellar Ectopia. Am J Neuroradiol 1998;19:897-9.</p><p>Бертон М. Дж. Головокружение: особенности диагностики и лечения. Леч врач 1999,4:58-60.</p><p>Barcovich A.J., Willpold F.J., Shermann J.L. et al. Significance of cerebellar tonsillar position on MR. Am J Neurol Radiol 1986;7:795-9.</p><p>Garland E.M., Robertson D. Chiari I malformation as a cause of orthostatic intolerance symptoms: a media myth? Am J Med 2001;111(7):546—52.</p><p>Крупина Н.Е. Патогенез основных неврологических симптомов у больных с мальформацией Киари 1-го типа. Журн неврол и психиатр 2003;4:20-5.</p><p>Mueller D., Oro J. Prospective analysis of presenting symptoms among 265 patients with radiographic evidence of Chiari malformation type I with or without syringomyelia. J Am Acad Nurs Pract 2004;3:134-8.</p><p>Furuya K., Sano K., Segawa H. et al. Symptomatic tonsillar ectopia. J Neurol Neurosurg Psychiatry 1998;64:221-6.</p><p>Dieterich M. Central vestibular disorders. J Neurol 2007;254:559-68.</p><p>Milhorat T., Chou M., Trinidad E. et al. Chiari I Malformation Redefined: Clinical and Radiographic Findings for 364 Symptomatic Patients. Neurosurgery 1999;44(5):1005—17.</p><p>Крупина Н.Е., Пышкина Л.И., Кабанов А.А. Состояние церебральной гемодинамики у больных с мальформацией Киари I типа. Неврол вестн 2001;XXXIII(3-4):18-23.</p><p>Менделевич Е.Г., Сурженко И.Л., Давлетшина Р.И. Сравнительный анализ нейровизуализационных и неврологических характеристик изолированной мальформации Киари 1 и сочетанной с сирингомиелией. Неврол журн 2011;3:24-7.</p><p>Kumar A., Patni A., Charbel F. The Chiari I malformation and the neurologist. Otol Neurotol 2002;23:727-35.</p><p>Парфенов В.А., Замерград М.В., Мельников О.А. Головокружение: диагностика и лечение, распространенные диагностические ошибки. 2-е изд. М.: МИА, 2011;18—40.</p><p>De Souza R.-M., Zador Z., Frim D.M. Chiari malformation type I: related conditions. Neurol Res 2011;33(3):278—84.</p><p>Kanpolat Y., Unlu A., Savas A. et al. Chiari Type I malformation presenting as glossopharyngeal neuralgia: case report. Neurosurgery 2000;48(1):226-8.</p></div><br />


For citation:


Dunin D.N., Mendelevich E.G. Coordination function disorders and their evaluation in patients with Chiari malformation type 1. Neurology, Neuropsychiatry, Psychosomatics. 2012;4(4):44-47. (In Russ.) https://doi.org/10.14412/2074-2711-2012-420

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)