Presentation
Headache.
Patient Data
Age: 40 years
Gender: Female
From the case:
Chiari 1 malformation
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There is caudal tonsillar ectopia (7 mm below the basion opisthion line). No hydrocephalus or syrinx. Otherwise unremarkable study.
From the case:
Chiari 1 malformation
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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.