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{{Arnold-Chiari malformation}}
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==Overview==
==Overview==
[[Category: (Name of the system)]]
MRI may be helpful in the diagnosis of Arnold-Chiari malformation. Findings on MRI diagnostic of Arnold-Chiari malformation include [[Cerebellar tonsil|cerebellar tonsillar]] [[herniation]], wedge shaped [[Cerebellar tonsil|tonsils]], syringohydromyelia, small [[posterior fossa]], obstructive [[hydrocephalus]], and [[Brain stem|brainstem]] anomalies.


==MRI==
==MRI==
* [[MRI]] is the imaging modality of choice to evaluate for a Chiari I malformation. MRI findings:
**[[Cerebellar]] tonsillar herniation
**Wedge shaped tonsils
**[[Syringohydromyelia]]
**Small [[posterior fossa]]
**Obstructive [[hydrocephalus]]
**[[Brainstem]] anomalies
*Tonsillar displacement is measured from the basion-opisthion line on a sigittal image.
*Herniation is usually at least 5mm, though patients with 3-5mm herniation may also have the malformation.
*MRI CSF flow studies may prove to be helpful and are currently under investigation.


<gallery>
MRI may be helpful in the diagnosis of Arnold-Chiari malformation. Findings on MRI diagnostic of Arnold-Chiari malformation include:<ref name="MeadowsKraut2000">{{cite journal|last1=Meadows|first1=Jeffery|last2=Kraut|first2=Michael|last3=Guarnieri|first3=Michael|last4=Haroun|first4=Raymond I.|last5=Carson|first5=Benjamin S.|title=Asymptomatic Chiari Type I malformations identified on magnetic resonance imaging|journal=Journal of Neurosurgery|volume=92|issue=6|year=2000|pages=920–926|issn=0022-3085|doi=10.3171/jns.2000.92.6.0920}}</ref><ref name="PillayAwad1991">{{cite journal|last1=Pillay|first1=Prem K.|last2=Awad|first2=Issam A.|last3=Little|first3=John R.|last4=Hahn|first4=Joseph F.|title=Symptomatic Chiari Malformation in Adults: A New Classification Based on Magnetic Resonance Imaging with Clinical and Prognostic Significance|journal=Neurosurgery|volume=28|issue=5|year=1991|pages=639–645|issn=0148-396X|doi=10.1227/00006123-199105000-00001}}</ref>
Image:Chiari 1 malformation 001.jpg|Sag T2
 
Image:Chiari 1 malformation 002.jpg|Sag T1
*[[Cerebellar]] tonsillar herniation
Image:Chiari 1 malformation 003.jpg|Sag T1
*Wedge shaped tonsils
Image:Chiari 1 malformation 101.jpg|Sag T1
*[[Syringohydromyelia]]
Image:Chiari 1 malformation 102.jpg|Sag T2
*Small [[posterior fossa]]
Image:Chiari 1 malformation 103.jpg|Ax T2
*Obstructive [[hydrocephalus]]
Image:Chiari 1 malformation 104.jpg|Ax T2
*[[Category: (Name of the system)]] [[Brainstem]] anomalies
Image:Chiari 1 malformation 105.jpg|Ax T2
Image:Arnold-Chiari Malformation MRI 0001.jpg|Brain: Arnold Chiari I; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0003.jpg|Brain: Arnold Chiari I, with Hydromyelia of Cervical Spinal Cord; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0007.jpg|Brain: Arnold Chiari II, with Towering of The Cerebellum and Wide Tentorial Incisure; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0008.jpg|Brain: Arnold Chiari II, with Fenestrated Falx Cerebri and Interdigitating Gyri; T2 (MRI)
Image:Arnold-Chiari Malformation MRI 0009.jpg|Brain: Arnold Chiari II, with Tectal Beaking and Large Massa Intermedia and Stenogyria; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0010.jpg|Brain: Arnold Chiari Type II with Medullary Spur and Kink (MRI)
Image:Arnold-Chiari Malformation MRI 0011.jpg|Brain: Arnold Chiari II, with Hypoplastic Corpus Callosum; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0012.jpg|Brain: Arnold Chiari II, with Cerebellar Hemispheres that Creep Anteriorly Around the Brain Stem; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0013.jpg|BRAIN: ARNOLD CHIARI II (MRI)
Image:Arnold-Chiari Malformation MRI 0014.jpg|BRAIN: ARNOLD CHIARI II WITH ELONGATED FOURTH VENTRICLES AND STENOGYRIA; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0015.jpg|BRAIN: ARNOLD CHIARI II WITH HYPOPLASTIC CORPUS CALLOSUM AND STENOGYRIA; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0016.jpg|BRAIN: ARNOLD CHIARI II WITH REPAIRED MYELOMENINGOCELE AND TETHERED SPINAL CORD; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0017.jpg|BRAIN: ARNOLD CHIARI TYPE IV; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0018.jpg|BRAIN: ARNOLD CHIARI TYPE IV; T1 (MRI)
Image:Arnold-Chiari Malformation MRI 0019.jpg|BRAIN: ARNOLD CHIARI MALFORMATION II; 1/2 PCMC (MRI)
Image:Arnold-Chiari Malformation MRI 0020.jpg|BRAIN: ARNOLD CHIARI MALFORMATION II, HERNIATED CEREBELLAR TONSIL; 1/2 PCMC - ARROW (MRI)
Image:Arnold-Chiari Malformation MRI 0021.jpg|SPINAL CORD: ARNOLD CHIARI MALFORMATION II; 2/2 PCMC (MRI)
Image:Arnold-Chiari Malformation MRI 0022.jpg|SPINAL CORD: ARNOLD CHIARI MALFORMATION II; 2/2 PCMC - ARROW (MRI)
Image:Arnold-Chiari Malformation MRI 0023.jpg|BRAIN: ARNOLD CHIARI MALFORMATION; 1/3 T2 (MRI)
Image:Arnold-Chiari Malformation MRI 0024.jpg|BRAIN: ARNOLD CHIARI MALFORMATION; 1/3 - ARROW T2 (MRI)
Image:Arnold-Chiari Malformation MRI 0025.jpg|BRAIN: ARNOLD CHIARI MALFORMATION; 2/3 T2 (MRI)
</gallery>


[[File:Chiari-i-malformation-8.jpg|500px|none|thumb|Case courtesy of Dr Hidayatullah Hamidi, Radiopaedia.org, rID: 56863|https://radiopaedia.org/cases/chiari-i-malformation-8]]
<br />
==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Neurology]]
[[Category:Disease]]
[[Category:Nervous system]]
[[Category:Neurological disorders]]
[[Category:Needs overview]]


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Latest revision as of 21:24, 28 September 2019

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

Overview

MRI may be helpful in the diagnosis of Arnold-Chiari malformation. Findings on MRI diagnostic of Arnold-Chiari malformation include cerebellar tonsillar herniation, wedge shaped tonsils, syringohydromyelia, small posterior fossa, obstructive hydrocephalus, and brainstem anomalies.

MRI

MRI may be helpful in the diagnosis of Arnold-Chiari malformation. Findings on MRI diagnostic of Arnold-Chiari malformation include:[1][2]


https://radiopaedia.org/cases/chiari-i-malformation-8


References

  1. Meadows, Jeffery; Kraut, Michael; Guarnieri, Michael; Haroun, Raymond I.; Carson, Benjamin S. (2000). "Asymptomatic Chiari Type I malformations identified on magnetic resonance imaging". Journal of Neurosurgery. 92 (6): 920–926. doi:10.3171/jns.2000.92.6.0920. ISSN 0022-3085.
  2. Pillay, Prem K.; Awad, Issam A.; Little, John R.; Hahn, Joseph F. (1991). "Symptomatic Chiari Malformation in Adults: A New Classification Based on Magnetic Resonance Imaging with Clinical and Prognostic Significance". Neurosurgery. 28 (5): 639–645. doi:10.1227/00006123-199105000-00001. ISSN 0148-396X.


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