Skip to main content
Log in

Headache caused by craniospinal pressure dissociation in the Arnold-Chiari-syringomyelia syndrome

Journal of Neurology Aims and scope Submit manuscript

Summary

Two patients with Arnold-Chiari malformation, associated with syringomyelia, are described. They presented with headache caused by coughing, sneezing and straining. The pathogenesis and diagnosis are discussed. The treatment of this condition consists in a fossa posterior decompression, in some cases followed by a syringoperitoneal or a syringosubarachnoid shunt.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Corbett J, Butler A, Kaufman B (1976) “Sneeze syncope”, basilar invagination and Arnold-Chiari type 1 malformation. J Neurol Neurosurg Psychiatry 39:381–384

    Google Scholar 

  2. Dobkin BH (1978) Syncope in the adult Chiari anomaly. Neurology 28:718–720

    Google Scholar 

  3. Gardner W (1965) Hydrodynamic mechanism of syringomyelia; its relationship to myelocele. J Neurol Neurosurg Psychiatry 28:247–259

    Google Scholar 

  4. Larson S, Sances A, Baker J, et al (1974) Herniated tonsils and cough syncope. J Neurosurg 40:524–528

    Google Scholar 

  5. Pederson RA, Troost BT, Abel LA, Zorub D (1980) Intermittent downbeat nystagmus and oscillopsia reversed by suboccipital craniectomy. Neurology 30:1239–1242

    Google Scholar 

  6. Rooke ED (1968) Benign exertional headache. Med Clin North Am 52:801–808

    Google Scholar 

  7. Symonds C (1956) Cough headache. Brain 79:557–568

    Google Scholar 

  8. Van den Bergh R (1990) Evolution of the neurosurgical management of syringomyelia in the last two decades. Adv Neurosurg 18:109–112

    Google Scholar 

  9. Williams B (1971) Further thoughts on the valvular action of the Arnold-Chiari malformations. Dev Med Child Neurol 25:105–112

    Google Scholar 

  10. Williams B (1980) Cough headache due to craniospinal pressure dissociation. Arch Neurol 37:226–230

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Van den Bergh, R. Headache caused by craniospinal pressure dissociation in the Arnold-Chiari-syringomyelia syndrome. J Neurol 239, 263–266 (1992). https://doi.org/10.1007/BF00810349

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00810349

Key words

Navigation