ERIC Number: EJ950619
Record Type: Journal
Publication Date: 2011
Reference Count: 15
Chiari Type I Malformations in Young Adults: Implications for the College Health Practitioner
Elam, Mary Jane; Vaughn, John A.
Journal of American College Health, v59 n8 p757-759 2011
In this article, the authors describe 2 cases of Chiari type I malformation (CM-I) in students presenting to a college health center within a 6-month period. A review of CM-I, including epidemiology, typical presentation, evaluation, and management, is followed by a discussion of the clinical and functional implications of the disorder in an emerging adult population. The authors conclude that CM-I is an important diagnostic consideration in the differential diagnosis of a young adult presenting with a chief complaint of chronic headache. It is vital for the college health practitioner to perform a detailed history on all such patients, placing special attention on factors that exacerbate their symptoms. The presence of worsening symptoms with cough or other forms of straining should prompt further investigation that includes neuroimaging of the brain and cervical spine.
Descriptors: College Students, Neurological Impairments, Congenital Impairments, Medical Evaluation, School Health Services, Incidence, Symptoms (Individual Disorders), Clinical Diagnosis, Medical Services
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Publication Type: Journal Articles; Reports - Research
Education Level: Higher Education; Postsecondary Education
Authoring Institution: N/A