TY - T1的什么手续是最丰富的儿童的评估与I型畸形?(S28.002) JF -神首页经学乔-神经病学SP - S28.002 LP - S28.002六世- 78 - 1补充AU -库马拉斯Dhamija AU -尼古拉斯Wetjen盟南希Slocumb AU -爱丽丝巴顿盟Suresh Kotagal Y1 - 2012/04/25 UR - //www.ez-admanager.com/content/78/1_Supplement/S28.002.abstract N2 -目的:关联障碍,laryngoscopic(矛盾的声带运动)和希阿里I型畸形的临床特征与蛛网膜下腔抹杀在枕骨大孔出现在核磁共振扫描连续在一个队列。背景Chiari I型畸形症症状的临床表现包括劳累型头痛、睡眠呼吸暂停,吞咽困难,声带功能障碍,击败眼球震颤,pre-syrinx和脊髓空洞症。多学科研究关联polysomnogram,喉镜检查和临床功能磁共振成像(MRI)的研究缺乏。因此,最优评估算法是未知的。设计/方法:回顾性研究发现24个孩子在2007年和2011年之间疑似畸形症状。临床(劳累型头痛/吞咽困难/共济失调),辐射(CSF抹杀枕骨大孔/鸣管),polysomnogram发现(中央,阻塞性呼吸暂停指数/觉醒指数)和混合列表;ChiSquare测试是用于分类变量和Wilcoxon测试是用于连续变量。结果:24受试者的平均年龄是6年1 - 15(范围)。十六24显示蛛网膜下腔抹杀(压缩组),8/24没有(非压缩组)。值中位数中央呼吸暂停指数(事件/小时的睡眠)压缩和非压缩组分别为1.5(差1 - 3.75)和0.5(分别差0 - 1.75)(p = 0.040),压缩和微觉醒/小时,而不是压缩组12(差9.5—-19)和8(分别差6 - 9);p = 0.004。 Symptoms of exertional headache / dysphagia /ataxia and presence of syrinx was more common in compressed group than non compressed group (81% vs 37.5%; p=0.032). Impaired vocal cord mobility was seen in only 2/24 subjects.Conclusions: MRI evidence of CSF effacement at the foramen magnum is a useful marker for brainstem compression. It correlates well with clinical symptoms, central sleep apnea and sleep fragmentation seen on nocturnal polysomnography. Laryngoscopy does not add much value to the evaluation process.Disclosure: Dr. Dhamija has nothing to disclose. Dr. Wetjen has nothing to disclose. Dr. Slocumb has nothing to disclose. Dr. Patton has nothing to disclose. Dr. Kotagal has nothing to disclose.Wednesday, April 25 2012, 14:00 pm-15:45 pm ER -