Arnold-Chiari malformation physical examination

	Arnold-Chiari malformation Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Arnold-Chiari malformation from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
Echocardiography or Ultrasound
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventions
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Case #2
Arnold-Chiari malformation physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Arnold-Chiari malformation physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Arnold-Chiari malformation physical examination
CDC on Arnold-Chiari malformation physical examination
Arnold-Chiari malformation physical examination in the news
Blogs on Arnold-Chiari malformation physical examination
Directions to Hospitals Treating Arnold-Chiari malformation
Risk calculators and risk factors for Arnold-Chiari malformation physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Patients with Arnold Chiari malformation usually appear normal. Physical examination of patients with Arnold Chiari malformation is usually remarkable for impaired coordination, sensory/ motor deficit, abnormal gait, nystagmus, scoliosis, and autonomic dysfunction.

Physical Examination

Appearance of the Patient

Patients with Arnold-Chiari malformation usually appear.^[1]^[2]^[3]

Vital Signs

Skin

Skin examination of patients with Arnold Chiari malformation is usually normal.

HEENT

Impaired gag reflex

Neck

Neck examination of patients with Arnold Chiari malformation is usually normal.

Lungs

Pulmonary examination of patients with Arnold Chiari malformation is usually normal.

Heart

Cardiovascular examination of patients with Arnold Chiari malformation is usually normal.

Abdomen

Abdominal examination of patients with Arnold Chiari malformation is usually normal.

Back

Scoliosis

Genitourinary

Genitourinary examination of patients with Arnold Chiari malformation is usually normal.

Neuromuscular

Muscle rigidity
Proximal/distal muscle weakness unilaterally/bilaterally
Unilateral/bilateral upper/lower extremity weakness
Unilateral/bilateral sensory loss in the upper/lower extremity
Abnormal gait
Unilateral/bilateral tremor
Dysmetria

Extremities

Eye

Nystagmus (irregular eye movements) may be present.
Pupillary dilatation

Neurologic

Impaired gag reflex
Impaired coordination

References

↑ Dyste, Gregg N.; Menezes, Arnold H.; VanGilder, John C. (1989). "Symptomatic Chiari malformations". Journal of Neurosurgery. 71 (2): 159–168. doi:10.3171/jns.1989.71.2.0159. ISSN 0022-3085.
↑ Bell, William O.; Charney, Edward B.; Bruce, Derek A.; Sutton, Leslie N.; Schut, Luis (1987). "Symptomatic Arnold-Chiari malformation: review of experience with 22 cases". Journal of Neurosurgery. 66 (6): 812–816. doi:10.3171/jns.1987.66.6.0812. ISSN 0022-3085.
↑ Papasozomenos, S.; Roessmann, U. (1981). "Respiratory distress and Arnold-Chiari malformation". Neurology. 31 (1): 97–97. doi:10.1212/WNL.31.1.97. ISSN 0028-3878.

Template:WH Template:WS

[DysteMenezes1989-1] Dyste, Gregg N.; Menezes, Arnold H.; VanGilder, John C. (1989). "Symptomatic Chiari malformations". Journal of Neurosurgery. 71 (2): 159–168. doi:10.3171/jns.1989.71.2.0159. ISSN 0022-3085.

[BellCharney1987-2] Bell, William O.; Charney, Edward B.; Bruce, Derek A.; Sutton, Leslie N.; Schut, Luis (1987). "Symptomatic Arnold-Chiari malformation: review of experience with 22 cases". Journal of Neurosurgery. 66 (6): 812–816. doi:10.3171/jns.1987.66.6.0812. ISSN 0022-3085.

[PapasozomenosRoessmann1981-3] Papasozomenos, S.; Roessmann, U. (1981). "Respiratory distress and Arnold-Chiari malformation". Neurology. 31 (1): 97–97. doi:10.1212/WNL.31.1.97. ISSN 0028-3878.

[1]

[2]

[3]