ЕPILEPTIC SEIZURES IN PATIENTS WITH CRANIOVERTEBRAL JUNCION ANOMALY
Abstract
Purpose: Studing seizure in patients with Chiari I malformation. Methods: 111 patients (58 females, 53 males) with Arnold-Chiari I malformation and epilepsy were examined with cognitive and behavioral examinations, EEG, MRI. Results: Patients with Arnold-Chiari I malformation have been next forms epilepsy: symptomatic epilepsy – 53,9%, cryptogenic epilepsy – 43,4%, juvenile мyoclonic epilepsy – 0,9%, juvenile absence epilepsy – 1,8%. The neurological symptoms were: cranial nerve dysfunction – 27%, the pyramidal symptoms – 12,6%, cerebellar symptoms – 0,9% and 59,5% patients have not neurological signs. The radiological features are: association of small posterior cranial fossa volume and Arnold-Chiari I malformation – 6%, association basilar impression and Arnold-Chiari I malformation with small posterior cranial fossa volume – 2%, basilar impression and Arnold-Chiari I malformation – 1%. Conclusion. The Arnold-Chiari I malformation, basilar impression and small posterior cranial fossa volume are anatomic finds in the MRI examinations in patients with epilepsy.
About the Author
M. R. Yarmuchametova
GUZ Republicon clinical hospital, Ministry of Health of Republic of Tatarstan
Russian Federation
Russian Federation
References
1. Кирьяков В.А. Клиника и диагностика краниовертебральных аномалий. // Журнал невропатологии и психиатрии. – 1980. - № 11. – С. 1647-1651.
2. Лобзин В.С., Полякова Л.А., Сидорова Т.Г., Голимбиевская Т.А. Неврологические синдромы при кранио-вертебральных дисплазиях. // Журнал невропатологии и психиатрии. – 1988. - № 9. – С. 12-16.
3. Arnold J. Myelocyste, Transposition von Gewebskeimen und Sympodie. // Ziegler’s Beitr.pathol. Anat. – 1894.-Vol. 16. – P. 1-10.
4. Bredley W.G. Comparison of CT and MR in 400 Patients with Suspected Disease of the Brain and Cervical Spinal Cord. // Radiology. – 1984. – Vol. 152. – P. 695-702.
5. Chiari A. Uber Veranderungen des Kleinhirns infolge von Hydrocefalie des Grobhirns.// Dtsch. Med.Wschr. – 1891. – Vol. 17. – P. 1172-1175.
6. Doyon D., Sigal R., Poylecot G. еt al. MRI of spinal cord congenital malformations. // J. Neuroradiol. - 1987. – Vol. 14, № 3. – P.185- 201.
7. Hida K.; Iwasaki Y.; Imamura H.; Abe H. Birth injuri as a causative factor of syringomyelia with Chiari type I deformity.// J.-Neurol-Neurosurg.-Psychiatry. - 1994. – Vol. 57, № 3. – P. 373-374.
8. ILAE report. Commission on terminology and classification// Epilepsia. - 2001. – Vol. 42, № 6. – P. 796-803.
9. Newman P.K., Terenty T.R., Foster J.B. Some observations on the pathogenesis of syrigomyelia. Journal of Neurology, Neurosurgery,and Psychiatry. - 1981. – Vol. 44. – P. 964-969.
10. Rhoton E.L.; Rhoton A.L. Jr. Chiari malformation with syringocephaly: case report (see comments). // J. – Neurosurg. - 1991. – Vol. 75, № 5. – P. 791 – 794.
11. Willing D. Disorders of Dorsal Induction (Neurol Tube Defects). // Atlas of Neuroradiology. 1995. - P. 42-51.
For citation:
Yarmuchametova M.R. ЕPILEPTIC SEIZURES IN PATIENTS WITH CRANIOVERTEBRAL JUNCION ANOMALY. Epilepsy and paroxysmal conditions. 2010;2(4):37-40. (In Russ.)
Views: 674
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Email this article 
