ArticleCephalalgia : an international journal of headache2022
Headache characteristics and postoperative course in Chiari I malformation.
Article in Cephalalgia : an international journal of headache, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Migraine-like headaches: a systematic review of secondary etiologies, clinical features and therapeutic patterns (1977-2024).The journal of headache and pain · 2025Pooled it
- Chiari I malformation.Nature reviews. Disease primers · 2026Review
- Article
- Characterizing symptom presentation in Chiari malformation type-1 in two subpopulations of pediatric patients who underwent decompression.Surgical neurology international · 2026Article
- Prognostic value of the preoperative study of cerebrospinal fluid dynamics in Chiari malformations: a pilot study.Acta neurochirurgica · 2025Article
- Difference in clinical presentation and surgical outcomes in pediatric and adult patients with Chiari malformation type 1: a single center retrospective study.Acta neurochirurgica · 2025Article
- A Rare Case of Posterior Fossa Decompression Performed during Pregnancy for Chiari Malformation Type I.NMC case report journal · 2025Article
- The Benefits of Cognitive Therapeutic Exercise in Symptomatic Arnold-Chiari Syndrome Type I: A Case Report on Gait, Balance, and Pain Management.Journal of clinical medicine · 2024Article
- Primary Cough Headache.Current pain and headache reports · 2023Review
- Arnold-Chiari Malformations in Pregnancy and Labor: Challenges and Management Strategies.Cureus · 2023Review
- Chiari Malformation Type 1 in Adults.Advances and technical standards in neurosurgery · 2023Article
- The role of ONSD in the assessment of headache associated with Chiari malformation type 1.Frontiers in neurology · 2023Article
- Is foramen magnum decompression for acquired Chiari I malformation like putting a finger in the dyke? - A simplistic overview of artificial intelligence in assessing critical upstream and downstream etiologies.Journal of craniovertebral junction & spineArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChiari I malformation typically presents with cough headache. However, migraine-like or tension-type-like headaches may also occur. There are limited publications on Chiari I malformation-associated headache semiologies and the effect of foramen magnum decompression on different headache types.
methodsA retrospective analysis complemented by structured phone interviews was performed on 65 patients with Chiari I malformation, treated at our hospital between 2010 and 2021. Headache semiology (according to ICHD-3), frequency, intensity, and radiological characteristics were evaluated pre- and postoperatively.
resultsWe included 65 patients. 38 patients were female and 27 male. Mean age was 43.9 ± 15.7 years. Headache was predominant in 41 patients (63.0%). Twenty-one patients had cough headache and 20 had atypical headache (12 migrainous, eight tension-type headache-like). Thirty-five patients with headache underwent surgery. Frequency, intensity, and analgesic use was significantly reduced in cough headache (
conclusionDecompression was effective in Chiari I malformation-related cough headache. Atypical headache responded less well, and the causal relation with Chiari I malformation remains uncertain. For atypical headache, decompression should only be considered after failed appropriate preventive therapy and within an interdisciplinary approach involving a neurologist.
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