Elsevier

The Lancet

Volume 329, Issue 8535, 28 March 1987, Pages 731-734
The Lancet

Clinical Diagnosis
HINDBRAIN HERNIA HEADACHE

https://doi.org/10.1016/S0140-6736(87)90366-7Get rights and content

Abstract

In six patients with episodic, severe, and disabling headaches with specific characteristics and in whom clinical examination and CT scanning were normal the symptoms were due to hindbrain herniation into the foramen magnum with resulting craniospinal pressure dissociation. This syndrome may be recognised by eliciting the typical history. In all patients myelography showed hindbrain herniation or Arnold-Chiari deformity and surgical decompression of the foramen magnum produced complete resolution of the headaches.

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