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Chiari Malformations 03

Topic: Adult

Created on Friday, May 30 2008 by jdmiles

Last modified on Friday, May 30 2008.

An adult patient presents to your clinic. Because of symptoms she describes, you obtain the MRI shown above.
Which of the following symptoms were most likely among this patient's complaints?

A) Hemiparesis

B) Horner syndrome

C) Paresthesias

D) Dementia

E) Diplopia

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This question was created on May 30, 2008 by jdmiles.
This question was last modified on May 30, 2008.

ANSWERS AND EXPLANATIONS

A) Hemiparesis

This answer is incorrect.

This MRI shows a Chiari malformation. Hemiparesis is not a common presenting symptom for a Chiari. (See References)


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B) Horner syndrome

This answer is incorrect.

This MRI shows a Chiari malformation. Horner syndrome is not a common presenting symptom of a Chiari malformation. (See References)


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C) Paresthesias

This answer is correct.

This MRI shows a Chiari malformation. Paresthesias are a common presenting complaint. (See References)


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D) Dementia

This answer is incorrect.

This MRI shows a Chiari malformation. Dementia is not a common presenting symptom. (See References)


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E) Diplopia

This answer is incorrect.

This MRI shows a Chiari malformation. Diplopia is not a common presenting symptom of a Chiari malformation. (See References)


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References:

1. Sklar, E.M.L., Ruiz, A., Quencer, R.M., and Falcone, S.F. (2004). Structural neuroimaging. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, Fourth Edition. Butterworth Heinemann, Philadelphia, pp. 521-597 (ISBN:0750674695).	Advertising:
2. Sarnat, H.B., and Flores-Sarnat, L. (2004). Developmental disorders of the nervous system. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, Fourth Edition. Butterworth Heinemann, Philadelphia, pp. 1763-1789 (ISBN:0750674695).	Advertising:
3. Rosenbaum, R.B., and Ciaverella, D.P. (2004). Disorders of bones, joints, ligaments, and meninges. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, Fourth Edition. Butterworth Heinemann, Philadelphia, pp. 2189-2222 (ISBN:0750674695).	Advertising:
4. Robert I. Grossman, David M. Yousem. Neuroradiology: the requisites. Philadelphia, Pa. : Mosby, c2003. (ISBN:032300508X)	Advertising:
5. Floyd, T. (1999). "Bear-inflicted human injury and fatality." Wilderness Environ Med, 10(2) 75-87. (PMID:10442155)


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adult
Chiari Malformations 03
Question ID: 053008023
Question written by J. Douglas Miles, (C) 2006-2009, all rights reserved.
Created: 05/30/2008
Modified: 05/30/2008
Estimated Permutations: 943800