Current Pain and Headache Reports

, Volume 11, Issue 1, pp 53–55

Is Chiari type I malformation a reason for chronic daily headache?

Article

DOI: 10.1007/s11916-007-0022-x

Cite this article as:
Riveira, C. & Pascual, J. Curr Pain Headache Rep (2007) 11: 53. doi:10.1007/s11916-007-0022-x

Abstract

This article briefly reviews the spectrum of headaches associated with Chiari type I malformation and specifically analyzes current data on the possibility of this malformation as an etiology for some cases of chronic daily headache (CDH). Chiari type I malformation is definitely associated with cough headache and not with primary episodic headaches, with the rare exception of basilar migraine-like cases. With regard to CDH, there is no clear evidence supporting an association with this malformation. An MRI study would be justified only in patients showing either a Valsalva-aggravating component or cervicogenic features. Hydrocephalus and low intracranial pressure syndrome should be ruled out in patients showing tonsillar herniation in an MRI study and consulting due to daily headache.

Copyright information

© Current Medicine Group LLC 2007

Authors and Affiliations

  1. 1.Service of NeurologyUniversity HospitalSalamancaSpain