title: Clinical Presentation and Alternative Diagnoses in the Adult Population.
abstract: This article describes the presentation of tussive headaches in the adult population. Posterior headaches can also occur in patients with basilar invagination, and they may require occipital cervical fusion. Lower cranial nerve dysfunction is another common presenting symptom in adult Chiari patients. Almost 25% of symptomatic adult Chiari patients had a recent episode of trauma. Syringomyelia is not present in all Chiari patients possibly because of the involution of the central canal. Adults must also be evaluated for other causes of acquired Chiari malformations such as pseudotumor cerebri.
authors.affiliation: Neurosurgery, Brain Research Institute, University of California, Los Angeles, Los Angeles, CA 90095, USA. Electronic address: UBatzdorf@mednet.ucla.edu.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Batzdorf
mesh_terms: D000328:Adult; D001139:Arnold-Chiari Malformation / Q000175:diagnosis* / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods; D006801:Humans; D013116:Spinal Cord / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods; D013595:Syringomyelia / Q000175:diagnosis* / Q000601:surgery*
keywords: Adult; Alternative diagnoses; Syringomyelia; Tussive headaches