抓住诊断:奇拉氏畸形 I 型的一种特殊表现。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Archive of clinical cases Pub Date : 2023-06-07 eCollection Date: 2023-01-01 DOI:10.22551/2023.39.1002.10247
Austin C Rezigh, Alec B Rezigh
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引用次数: 0

摘要

Chiari I 畸形是小脑扁桃体向下移位穿过枕骨大孔的一种先天性解剖异常。虽然通常在影像学检查中偶然发现,但并无任何症状,最常见的症状表现是非特异性头痛。在此,我们描述了一例有症状的Chiari I畸形病例,患者为一名女性,合并有精神疾病,表现为脑部被夹住的感觉。虽然这种奇特的描述很容易被她的精神健康病史误解,但临床医生应该考虑那些描述症状与头痛或与脑膜刺激有关的枕部疼痛相一致的患者的这一诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Catching the diagnosis: A peculiar presentation of Chiari malformation type I.

Chiari I malformation is a congenital anatomic anomaly of the cerebellar tonsils resulting in their downward displacement through the foramen magnum. While often incidentally discovered on imaging with no attributable symptoms, the most common symptomatic presentation is non-specific headache. Herein, we describe a case of symptomatic Chiari I malformation in a woman with psychiatric comorbidities manifesting as a sensation of brain catching. While a peculiar description easily misconstrued by her mental health history, clinicians should consider this diagnosis in those describing symptoms compatible with headaches or occiput pain related to meningeal irritation.

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