A case-control study of cerebellar tonsillar ectopia (Chiari) and head/neck trauma (whiplash)
| العنوان: | A case-control study of cerebellar tonsillar ectopia (Chiari) and head/neck trauma (whiplash) |
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| المؤلفون: | Robert M. Bennett, Dan S. Heffez, Scott Rosa, Michael D. Freeman, Francis W. Smith, Christopher J. Centeno, David Harshfield, Ezriel Kornel, Sean S. Kohles, Ake Nystrom |
| المصدر: | Brain Injury. 24:988-994 |
| بيانات النشر: | Informa UK Limited, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Neuroscience (miscellaneous), Patient Positioning, Recumbent Position, Developmental and Educational Psychology, medicine, Whiplash, Humans, Whiplash Injuries, Chiari malformation, Foramen magnum, Neck pain, Neck Pain, medicine.diagnostic_test, business.industry, Chronic pain, Case-control study, Magnetic resonance imaging, Middle Aged, medicine.disease, Magnetic Resonance Imaging, Arnold-Chiari Malformation, Surgery, medicine.anatomical_structure, Case-Control Studies, Female, Neurology (clinical), medicine.symptom, business |
| الوصف: | Primary objective: Chiari malformation is defined as herniation of the cerebellar tonsils through the foramen magnum, also known as cerebellar tonsillar ectopia (CTE). CTE may become symptomatic following whiplash trauma. The purpose of the present study was to assess the frequency of CTE in traumatic vs non-traumatic populations. Study design: Case-control. Methods and procedures: Cervical MRI scans for 1200 neck pain patients were reviewed; 600 trauma (cases) and 600 non-trauma (controls). Half of the groups were scanned in a recumbent position and half were scanned in an upright position. Two radiologists interpreted the scans for the level of the cerebellar tonsils. Main outcomes and results: A total of 1195 of 1200 scans were read. CTE was found in 5.7% and 5.3% in the recumbent and upright non-trauma groups vs 9.8% and 23.3% in the recumbent and upright trauma groups (p!0.0001). Conclusions: The results described in the present investigation are first to demonstrate a neuroradiographic difference between neck pain patients with and without a recent history of whiplash trauma. The results of prior research on psychosocial causes of chronic pain following whiplash are likely confounded because of a failure to account for a possible neuropathologic basis for the symptoms. |
| تدمد: | 1362-301X 0269-9052 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1757f967b15e464a4752649363e0d82cTest https://doi.org/10.3109/02699052.2010.490512Test |
| رقم الانضمام: | edsair.doi.dedup.....1757f967b15e464a4752649363e0d82c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1362301X 02699052 |
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