Arnold-Chiari Malformations | Nursing Crib

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Arnold-Chiari Malformations
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RECENT POSTS Belgium may soon hire Filipino Nurses in US insurance firms here in the Philippines December 2012 Nursing Licensure for Nurses (Room Assignments) Doctors Diagnose, Nurses Cure Premium T-Shirt Overactive Bladder Pathophysiology The disease process that will be discussed will be focused on Type I and Type II Chiari Malformations. Chiari Type I develop as a result of: 1. Medulla and upper spinal cord compression results to myelopathy and lower cranial nerve and nuclear dysfunction 2. The cerebellum is compressed results to ataxia, dysmetria, nystagmus and dysequilibrium 3. CSF flow is disrupted to the foramen magnum results to the most common symptom PAIN (headache and neck pain). Aside from pain, it also would lead to the formation of syringomyelia and central cord symptoms such as hand weakness and dissociated sensory loss. Headache and neck pain in Chiari type I malformation are aggravated by cough and valsalva maneuver. Chiari Type II In Chiari Type II malformations compressive mechanisms, medulla, upper spinal cord and cerbellar compression, also plays a vital role in the occurrence of the disease. However, additional mechanisms are present that contributes to the occurrence of the malformation such as the stretching of the abnormally oriented cranial nerves. Presence of hydrocephalus, as a result of the myelomenigocele further aggravates the downward displacement of the brainstem and the stretching of the cranial nerves. Type II has poorer prognosis than that of type I after surgery because of the irreversible ischemia of the brainstem which is constantly under tension. Clinical Manifestations 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Headaches* Neck pain* Ringing in the ears or tinnitus Nausea Vertigo and dizziness Facial pain Irregular eye movements Weakness of the muscles Gag reflex is impaired Difficulty in swallowing or dyspahgia Syncope Tachycardia Polydispsia Chronic fatigue Impaired coordination Sleep apnea Central cord symptoms such as hand weakness, dissociated sensory loss and paralysis in NURSING TOPICS Anatomy and Physiology Case Study Communicable Diseases Continuing Education Critical Care and Emergency Nursing Drug Study IELTS RECENT COMMENTS Medical Laboratory & ginger Diagnostic Test age & sex discrimination..WOW... Medical Malpractice Moon Microbiology Hi been answering at your site and NCLEX & CGFNS saw some comments to send... Nursing Apps Glen Nursing Board Exam There is no treatment for liver cirrhosis Results because it is a ir... Nursing Board Exam ria Reviewer agree... Nursing Care Plan krystel Nursing Informatics please send me in my email the Nursing Jobs answer and rationale to this ... Nursing News & Blog Nursing Procedure TAGS Checklist
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Arnold-Chiari Malformations | Nursing Crib

severe cases. * Headache and neck pain are aggravated by cough and valsalva maneuver (yawning, laughing, crying, coughing, sneezing or straining). Diagnosis 1. 2. 3. 4. 5. 6. Patient history Neurological data MRI Use of 3-D CT imaging of the brain Cine imaging (a movie of the brain) Ultrasound prenatally in Chiari II Malformation

Treatment 1. Mild neck pain and headaches can be treated with analgesics, muscle relaxants, and occasional use of a soft collar. 2. Decompression surgery Comparison of Type I and Type II Chiari Malformations Characteristic Age of diagnosis Chiari Type I Older children Adults Infants Young children Chiari Type II

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Hydrocephalus Less than 10% cases Very common Myelomeningocele No Always Clinical Manifestations Pain (headache and neck pain) Central cord symptoms (hand weakness, dissociated sensory loss and in severe cases paralysis) ataxia, dysmetria, nystagmus and dysequilibrium In infants: swallowing/feeding difficulties, stridor, apnea, weak cry, nystagmus (due to brainstem dysfunction) Extremity weakness

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About Daisy Jane Antipuesto RN MN Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing.Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse.Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer. Filed under Medical Surgical Nursing Tagged with arnorld-chiari malformations, chiari malformation, chiari type I malformation, chiari type III malformation, chiari type IV malformation, chiaro type II malformation, congenital malformation of the brain

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