Chiari 1 malformation

Case contributed by Vichi Goel
Diagnosis certain

Presentation

Headache.

Patient Data

Age: 40 years
Gender: Female
mri

There is caudal tonsillar ectopia (7 mm below the basion opisthion line). No hydrocephalus or syrinx. Otherwise unremarkable study.

Annotated image

Case Discussion

Chiari 1 malformation is defined as caudal cerebellar tonsillar ectopia.

Tonsillar ectopia measuring 5 mm or more below the foramen magnum is generally considered diagnostic, with additional abnormalities like tonsillar deformity and obliterated retrotonsillar CSF spaces.

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