The pathogenesis of most cases of syringomyelia remains obscure although a modification of the hydrodynamic theory of Gardner allows a logical surgical approach to treatment. Data are presented confirming a high incidence of traumatic birth in patients with syringomyelia who have a Chiari malformation or basal arachnoiditis, but demonstrating no increase in traumatic birth in patients with the ...

As echocardiography is being used more often, its value and accuracy are becoming more fully appreciated. Coincident with wider application of this imaging technique is the potential for identifying normal anatomic variants and their possible erroneous interpretation as pathologic states. In this report we describe the M-mode and two-dimensional echocardiographic features of a congenital remnan...

While Chiari I malformation is a relatively common finding on MRI imaging, the vast majority of patients are asymptomatic and those who do present typically follow a slow course of chronic or subacute progression of symptoms. Emergent deterioration of existing Chiari malformation is rare. We present two patients with previously undiagnosed Chiari I malformation presenting with acute deteriorati...

The Budd-Chiari syndrome is a heterogeneous group of disorders characterized by obstruction of hepatic venous outflow at any level from the small hepatic veins to the junction of the inferior vena cava with the right atrium. We present two cases of Budd- Chiari syndrome with severe ascites associated with polycythemia vera in first case and protein C deficiency in the second, in both cases tran...

The budd-Chiari syndrome is characterized by thrombotic or non thrombotic reduction of the venous hepatic flow. Several works have enabled the comprehension of budd-Chiari syndrome as well as the diagnosis and treatment. This clinical review attempted to present the budd-Chiari syndrome overall and more particularly the history, etiology, pathophysiology, diagnosis and the understanding of the ...

Diagnosis and treatment of CMI is undergoing reexamination that includes redefinition of the anatomic Chiari malformation and refinement and redefinition of the clinical syndrome. Children with SMI present with head pain of some kind, a neurologic deficit, or with signs of spinal cord dysfunction from syrinx. Some will present with no clinical syndrome at all. Presence of anatomic Chiari malfor...

The hindbrain herniation syndrome (51), often referred to as the Chiari I malformation, is a disorder that has traditionally been defined as a downward herniation of the cerebellar tonsils through the foramen magnum (8, 9, 36). The extent of tonsillar herniation is recognized as being more than 4 to 5 mm below the plane of foramen magnum on sagittal magnetic resonance images (11, 13, 28, 30, 33...

Spinal deformity is an important clinical manifestation of Chiari I malformation (CM-I) and syringomyelia. Here we report the result of an 8-year follow-up of a 13-year-old girl with severe scoliosis associated with Chiari malformation and a large syringomyelia. The patient presented at our hospital at the age of 13 with a 68° scoliosis. Magnetic resonance imaging showed Chiari malformation and...

We report the case of a 84-year-old admitted with symptoms of congestive heart failure. Ultrasonography revealed a hyperechoic nodule in the left lobe of the liver, with a peripheral hypoechoic rim, multiple irregular hypoechoic nodules in both hepatic lobes, portal vein, inferior vena cava, and right atrium thrombosis. On ultrasonographic and alpha-fetoprotein criteria the case was interpreted...

Reported is a unique case of Chiari imalforma tion with syringomyelia and medullar hemorrhage, which became symptomatic 4 days after a craniocervical trauma when the patient was doing neck exercises. The patient manifested respiratory arrest, tetraparesis, and persistent lower cranial nerve dysfunction. Magnetic resonance imaging studies revealed a Chiari i ma!formation with a large cervicothor...