Migraine in Chiari 1 Malformation: a cross-sectional, single centre study

Ciaramitaro, P.; Rota, Eugenia; Ferraris, Marilena; Stura, Ilaria; Migliaretti, Giuseppe; Cocito, Dario

doi:10.1007/s13760-021-01716-z

Cited by 3 publications

(4 citation statements)

References 25 publications

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“…Authors such as Lázaro et al [17] and Ciaramitaro et al [18] tell us about the characteristic symptomatology of CM. Lázaro et al [17] studied the verbal fluency of patients with CM-I compared to a healthy control group and found that scores were significantly lower in the CM-I group.…”

Section: Discussionmentioning

confidence: 99%

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Chiari Syndrome: Advances in Epidemiology and Pathogenesis: A Systematic Review

Rodríguez-Blanque,

Almazán-Soto,

Piqueras-Sola

et al. 2023

JCM

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Arnold Chiari syndrome is a rare congenital disease of unknown prevalence and whose origin is still under study. It is encompassed within the posterior cranial malformations, showing a wide spectrum of symptomatology that can range from severe headache, dizziness, and paresthesia to complete asymptomatology. It is for this reason that early diagnosis of the disease is difficult, and it is usually diagnosed in adolescence. Treatment is based on remodeling and decompression of the malformed posterior cranial fossa, although the risk of residual symptoms after surgery is high. The aim of this review is to update all the existing information on this pathology by means of an exhaustive analysis covering all the scientific literature produced in the last 5 years. In addition, it has been carried out following the PRISMA model and registered in PROSPERO with code CRD42023394490. One of the main conclusions based on the results obtained in this review is that the origin of the syndrome could have a genetic basis and that the treatment of choice is the decompression of the posterior cerebral fossa.

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Section: Discussionmentioning

confidence: 99%

“…Lázaro et al [17] studied the verbal fluency of patients with CM-I compared to a healthy control group and found that scores were significantly lower in the CM-I group. In addition, Ciaramitaro et al [18] studied migraine associated with CM-I and the clinical demographic characteristics of the patients.…”

Section: Discussionmentioning

confidence: 99%

Chiari Syndrome: Advances in Epidemiology and Pathogenesis: A Systematic Review

Rodríguez-Blanque,

Almazán-Soto,

Piqueras-Sola

et al. 2023

JCM

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“…It has been established that the prevalence of atypical headache (primary headache) among CIM patients was higher than in the general population (5,50,51). Besides, the coexistence rate of typical and atypical headaches was 74% in CIM cases reported by Beretta et al.…”

Section: Surgery For Typical Headachementioning

confidence: 99%

“…Recently, many scholars have identified many atypical headaches in CIMs, such as migraine, tension-type headaches, cluster headaches, trigeminal neuralgia, etc. (2,5,6). However, in general, scholars still consider CIM headaches as an integral symptom rather than dividing them into typical and atypical headaches for diagnosis, treatment and measurement (7,8).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and treatment of typical and atypical headaches in patients with Chiari I malformation: A meta-analysis and literature review

Zhang

Huang

et al. 2023

Cephalalgia

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Objective A meta-analysis was conducted to analyze the incidence of typical and atypical headaches and outcomes following various treatments in patients with Chiari I malformation. Background Headache is the most common symptom of Chiari malformation, which can be divided into typical and atypical subgroups to facilitate management. Much controversy surrounds the etiology, prevalence and optimal therapeutic approach for both types of headaches. Method We identified relevant studies published before 30 July 2022, with an electronic search of numerous literature databases. The results of this study were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Result A total of 1913 Chiari malformation type I CIM patients were identified, 78% of whom presented with headache, within this group cephalgia was typical in 48% and atypical in 29% of patients, and migraine was the most common type of atypical headache. The ratio of typical/atypical headaches with international classification of headache disorders diagnosis was 1.53, and without international classification of headache disorders diagnosis was 1.56, respectively. The pooled improvement rates of typical headaches following conservative treatment, extradural decompression and intradural decompression were 69%, 88%, and 92%, respectively. The corresponding improvement rates for atypical headaches were 70%, 57.47%, and 69%, respectively. The complication rate in extradural decompression group was significantly lower than in intradural decompression group (RR, 0.31; 95% CI: 0.06–1.59, I2 = 50%, P = 0.14). Low reoperation rates were observed for refractory headaches in extradural decompression and intradural decompression groups (1%). Conclusion The International Classification of Headache Disorders can assist in screening atypical headaches. extradural decompression is preferred for typical headaches, while conservative therapy is optimal for atypical headaches. A definite correlation exists between atypical headaches and Chiari Malformation Type I patients with higher prevalence than in the general population. Importantly, decompression is effective in relieving headaches in this particular patient population.

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