Table 1. Clinical findings in 415 patients with Chiari malformation type I.
CMI | |
Number of patients | 415 |
Sex (M/F) | 122/293 |
Age (y) | 42.2±50.9 |
Age at diagnosis | 30.6±58.7/323 |
Hydrocephalus | 57/377 (15.1%) |
Syringomyelia | 133/379 (35.1%) |
Intracranial Hypertension | 20/376 (5.3%) |
Retrocurved Odontoid | 40/352 (11.4%) |
Basilar impression | 11/382 (2.3%) |
Platibasia | 8/382 (2.1%) |
Klippel-Feil Malformation | 3/377 (0.8%) |
Other Craniocervical Malformations | 24/377 (6.4%) |
SIGNS AND SYMPTOMS | |
Time elapsed from onset (mo) | 113.3±59.4/323 |
Headache | 246/356 (69.1%) |
Occipital Headache/Cervicalgia | 97/224 (43.3%) |
Cough Headache | 87/358 (24.3%) |
Dizziness | 128/365 (35.1%) |
Vertigo | 82/365 (22.5%) |
Visual Alterations | 71/364 (19.5%) |
Nystagmus | 41/276 (14.8%) |
Kyphoscoliosis | 30/160 (18.7%) |
Fatigue | 102/363 (28.1%) |
Instability | 117/364 (32.1%) |
Sensory Loss | 108/364 (29.7%) |
Motor Weakness | 123/366 (33.6%) |
Dysphagia | 67/365 (18.3%) |
Dysphonia | 16/365 (4.4%) |
Gait Disturbances | 73/364 (20.0%) |
Paresthesia Upper Limbs | 112/365 (30.7%) |
Paresthesia Lower Limbs | 47/366 (12.9%) |
Upper Limb Pain | 47/365 (12.9%) |
Lower Limb Pain | 16/365 (4.4%) |
Neck Pain | 169/366 (46.2%) |
Difficulty Swallowing | 66/365 (18.1%) |
Anxiety | 38/360 (10.5%) |
Depression | 33/361 (9.1%) |
Neurofibromatosis type 1 | 45/382 (11.8%) |
TREATMENT | |
Posterior fossa reconstruction | 210/376 (55.8%) |