The frequency of cerebellar tonsillar ectopia in primary headache patients
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfillment for the degree of Master of Medicine in the division of Neurology Johannesburg 2019 === Background: The frequency of cerebellar tonsillar ectopia (TE) has not been adequately...
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| Format: | Others |
| Language: | en |
| Published: |
2019
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| Online Access: | https://hdl.handle.net/10539/27993 |
| Summary: | A research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, in partial fulfillment for the degree of Master of Medicine in the
division of Neurology
Johannesburg 2019 === Background: The frequency of cerebellar tonsillar ectopia (TE) has not been adequately
quantified in the headache population to date.
Aims: To determine the frequency of TE (both borderline tonsillar ectopia [BTE] and Chiari 1
malformation (CM-1)) in patients with primary headache disorder. To compare the frequency
of tonsillar ectopia to the estimated frequency reported in the general population.
Methods:
The records of 299 adult (≥18yrs) patients with primary headache and magnetic resonance
images (MRI) of the brain were retrospectively reviewed and directly examined for the lowest
cerebellar tonsillar position. Patients were stratified according to lowest tonsillar position into
3 groups; normal, BTE and CM-1. Secondary causes of tonsillar ectopia were excluded.
Frequency tables were computed and reported.
Results: Of the 299 patients with primary headache disorder there were, 14 BTE (4.7%) , 3
CM-1 (1%) and 282 (94.3%) normal category patients .
The frequency of BTE in primary headache patients was 4.7% and is of statistical significance
(p= 0.004) when compared to a neuroradiological series. The frequency of CM-1 in primary
headache patients compared to that reported in the general population showed no significant
difference between them (p>0.05) === MT 2019 |
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