Chiari malformation: Difference between revisions
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(Original text from WikiSkripta: Chiariho malformace https://www.wikiskripta.eu/w/Chiariho_malformace)
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[[File:MRI of human brain with type-1 Arnold-Chiari malformation and herniated cerebellum.jpg|thumb|Brain MRI showing herniation of cerebellar tonsils into the foramen magnum in a patient with '''Arnold-Chiari malformation''' of the first type]]
[[File:MRI of human brain with type-1 Arnold-Chiari malformation and herniated cerebellum.jpg|thumb|Brain MRI showing herniation of cerebellar tonsils into the foramen magnum in a patient with '''Arnold-Chiari malformation''' of the first type]]
'''Chiari malformation''' (''Arnold-Chiari malformation'') is a '''congenital CNS anomaly'''. It is a '''dystopia''' of the [[mozeček|cerebellum]] ''' and ''' [[medulla oblongata]] into the '''spinal canal''', which is clinically manifested by [[hydrocefalus|hydrocephalus]]. RWe distinguish four types of rhombencephalon abnormalities (cerebellum, pons, oblongata):
'''Chiari malformation''' (''Arnold-Chiari malformation'') is a '''congenital CNS anomaly'''. It is a '''dystopia''' of the [[mozeček|cerebellum]] ''' and ''' [[medulla oblongata]] into the '''spinal canal''', which is clinically manifested by [[hydrocefalus|hydrocephalus]]. RWe distinguish four types of rhombencephalon abnormalities (cerebellum, pons, oblongata):
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* {{Citace|typ = web|příjmení1 = Beneš|jméno1 = Jiří|název = Studijní materiály|rok = 2007|citováno =  2010|url = http://jirben.wz.cz}}
* {{Citace|typ = web|příjmení1 = Beneš|jméno1 = Jiří|název = Studijní materiály|rok = 2007|citováno =  2010|url = http://jirben.wz.cz}}
=== References ===
=== References ===
*[[ws:Chiariho malformace]]
* {{Citace   
* {{Citace   
|typ = kniha
|typ = kniha

Latest revision as of 19:45, 18 May 2022

Brain MRI showing herniation of cerebellar tonsils into the foramen magnum in a patient with Arnold-Chiari malformation of the first type

Chiari malformation (Arnold-Chiari malformation) is a congenital CNS anomaly. It is a dystopia of the cerebellum and medulla oblongata into the spinal canal, which is clinically manifested by hydrocephalus. RWe distinguish four types of rhombencephalon abnormalities (cerebellum, pons, oblongata):

  • Type 1 - herniation of the cerebellar tonsil under the foramen magnum, IV. the chamber is stored normally
  • Type 2 - usually the co-presence of myelomeningocele
  • Type 3 - severe dislocation of structures in the posterior pit, often associated with suboccipital encephalomeningocele; usually incompatible with life
  • Type 4 - cerebellar hypoplasia without herniation.
Chiari malformation of the second type

Clinical picture[edit | edit source]

Clinically, the defect is manifested mainly by headache, weakened grip and spasticity of DK.

Diagnosis[edit | edit source]

Native X-ray, MRI.

Therapy[edit | edit source]

The main problem is hydrocephalus – decompression of the craniospinal junction, short-circuit drainage operations.


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