
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Arnold-Chiari malformation physical examination
Introduction
Overview
Overview
Patients with Arnold Chiari malformation usually appear normal. Physical examination of patients with Arnold Chiari malformation is usually remarkable for impaired coordination, sensory/ motor deficit, abnormal gait, nystagmus, scoliosis, and autonomic dysfunction.
Physical Examination
Physical Examination
Appearance of the Patient
Vital Signs
Skin
HEENT
- Impaired gag reflex
Neck
Lungs
Heart
- Cardiovascular examination of patients with Arnold Chiari malformation is usually normal.
Abdomen
- Abdominal examination of patients with Arnold Chiari malformation is usually normal.
Back
Genitourinary
- Genitourinary examination of patients with Arnold Chiari malformation is usually normal.
Neuromuscular
- Muscle rigidity
- Proximal/distal muscle weakness unilaterally/bilaterally
- Unilateral/bilateral upper/lower extremity weakness
- Unilateral/bilateral sensory loss in the upper/lower extremity
- Abnormal gait
- Unilateral/bilateral tremor
- Dysmetria
Extremities
Eye
- Nystagmus (irregular eye movements) may be present.
- Pupillary dilatation
Neurologic
- Impaired gag reflex
- Impaired coordination
References
References
- ↑ Dyste, Gregg N.; Menezes, Arnold H.; VanGilder, John C. (1989). “Symptomatic Chiari malformations”. Journal of Neurosurgery. 71 (2): 159–168. doi:10.3171/jns.1989.71.2.0159. ISSN 0022-3085.
- ↑ Bell, William O.; Charney, Edward B.; Bruce, Derek A.; Sutton, Leslie N.; Schut, Luis (1987). “Symptomatic Arnold-Chiari malformation: review of experience with 22 cases”. Journal of Neurosurgery. 66 (6): 812–816. doi:10.3171/jns.1987.66.6.0812. ISSN 0022-3085.
- ↑ Papasozomenos, S.; Roessmann, U. (1981). “Respiratory distress and Arnold-Chiari malformation”. Neurology. 31 (1): 97–97. doi:10.1212/WNL.31.1.97. ISSN 0028-3878.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
