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1.5 In addition to tonsillar ectopia, patients with this entity also have caudal descent of the brainstem. A significant proportion of these patients require a second surgery as a result of persistent syringomyelia. [30] [36] Headache and neck pain, similar to Chiari I II This is the only type also known as an "Arnold–Chiari" malformation.
For 20% of patients, MRIs present as completely normal. [32] MRIs performed with the patient seated upright (vs. laying supine) are not better for diagnosing CSF leaks, [68] but are more than twice as effective at diagnosing cerebellar tonsillar ectopia, also known as Chiari malformation. [69]
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There have been diets falsely attributed to Mayo Clinic for decades. [3] Many or most web sites claiming to debunk the bogus version of the diet are actually promoting it or a similar fad diet. The Mayo Clinic website appears to no longer acknowledge the existence of the false versions and prefers to promote their own researched diet. [4]
The currently accepted radiographic definition for a Chiari malformation is that cerebellar tonsils lie at least 5mm below the level of the foramen magnum. Some clinicians have reported that some patients appear to experience symptoms consistent with a Chiari malformation without radiographic evidence of tonsillar herniation.
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Cerebellar tonsillar ectopia, aka Chiari malformation, a herniation of the brain through the foramen magnum, which may be congenital or caused by trauma. Ectopic cilia , a hair growing where it isn't supposed to be, commonly an eyelash on an abnormal spot on the eyelid, distichia
[4] [5] In serious cases, blood vessels rupture and cause bleeding within the brain (intracranial hemorrhage). [a] In more than half of patients with AVM, this is the first symptom. [7] Symptoms due to bleeding include loss of consciousness, sudden and severe headache, nausea, vomiting, incontinence, and blurred vision, amongst others. [4]