FEATURES OF CLINICAL MANIFESTATIONS AND DIAGNOSTIC EVALUATION OF COORDINATION DISORDERS IN CHIARI MALFORMATION TYPE 1

Abstract

Coordination disorders in patients with MK1 found in 73.3% of patients and an objective common to 40.6% without complaint were shown. Vertigo is the debut display of nearly 50% of cases. In addition to non-systemic nature of dizziness (44.7%), with MK 1 common vertigo was observed in 34.2% of patients with complaints of dizziness. The delimitation of the nature of dizziness was the most informative impulse test, revealing the peripheral nature of dizziness in 59% of patients with symptomatic group. Phenotype dizziness, similar to the positional and DPPG can be an expression of MK 1, occurring at the 13.1% of the patients.

Keywords

Chiari malformation type 1 / coordination disorders

References

[1] Зайцева О.В., Тарасова Г.Д. Комплексное вестибулологическое исследование больного с ЛОР-патологией. Пособие. М., 2006. С. 5-43.

[2] Менделевич Е.Г., Богданов Э.И., Чувашаев И.Р. Семейные случаи сирингомиелии и аномалии Арнольда-Киари // Журнал неврологии и психиатрии им. C.C. Корсакова. 2000. №12. С. 93.

[3] Менделевич Е.Г., Сурженко И.Л., Давлетшина Р.И. Сравнительный анализ нейровизуализационных и неврологических характеристик изолированной мальформации Киари 1 и сочетанной с сирингомиелией // Неврологический журнал. 2011. Т. 16, №3. С. 24-27.

[4] Менделевич Е.Г., Давлетшина Р.И., Дунин Д.Н. Клинические и МРТ-особенности течения сирингомиелии, начавшейся в детском возрасте // Неврологический вестник. 2011. Т. XLIII, вып. 4. С. 14-19.

[5] Aboulezz A.O., Sartor K., Geuer C.A., Gado M.H. Position of cerebellar tonsils in the normal population and in patient with Chiari malformation. A quantitative approach with MR imaging // J. Comput. Assist. Tomogr. 1985. Vol. 9. P. 1033-1036.

[6] Albers F.W.J., Ingels K.J.A.O. Otoneurological manifestations in Chiari-I malformation // J. Laryngol. Otol. 1993. Vol. 107. P. 441-443.

[7] Amer T., El-Shmam O. Chiari malformation type I: a new MRI classification // Magnet. Reson. Imag. 1997. Vol. 15. P. 397-403.

[8] Batzdorf U. Clinical presentation of the adult Chiari I malformation. In: The Chiari malformations [R.S. Tubbs, W.J. Oakes (eds.)]. N.-Y., 2013. P. 253-259.

[9] Cavender R.K., Schmidt J.H., Tonsillar ectopia and Chiari malformations: monozygotic triplets. // J. Neurosurg. 1995. Vol. 82. P. 497-500.

[10] Elster A.D., Chen M.Y.M. Chiari I malformations: clinical and radiologic reappraisal // Radiology. 1992. Vol. 183 (2). P. 347-353.

[11] Hadley D.M. The Chiari malformations // J. Neurol. Neurosurg. Psychiatry. 2002. Vol. 72. P. 38-40.

[12] Milhorat T.H., Chou M.W., Trinidad E.M., Kula R.W., Mandell M., Wolpert C., Speer M.C. Chiari I Malformation Redefined: Clinical and Radiographic Findings for 364 Symptomatic Patients // Neurosurgery. 1999. Vol. 44 (5). P. 1005-1017.

[13] Mueller D.M., Oro J.J. Chiari malformations symptoms // J. Am. Acad. Nurse Pract. 2004. Vol. 16(3). P. 134-138.

[14] Ishikawa M., Kikuchi H., Fujisawa I. et al. Tonsillar herniation on magnetic resonance imaging. // Neurosurgery. 1988. Vol. 22. P. 77-81.

[15] Paul K.S., Lye R.H., Strang F.A., Dutton J. Arnold-Chiari malformation. Review of 71 cases // J. Neurosurg. 1983. Vol. 58. P.183-187.

RIGHTS & PERMISSIONS

Dunin D.N., Mendelevich E.G., Valieva L.K.