Chiari 1 malformation with secondary cervicothoracic syringomyelia
Headache and neck pain.
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Chiari I malformation with 21 mm of tonsillar herniation in the right side below the foramen magnum is present.
There is associated cervical syringomyelia with 79 mm length and 11 mm anteroposteriorly diameters starts from the C3-C4 down to D1-D2 levels.
Disco osteophyte bulging is present at the C3-C4 level.
Disc bulging also is seen at the C5-C6 level.
The patient was referred with the symptoms of a headache, which begins from the neck base and radiates upward. The pain is made worse by coughing, sneezing or straining. Regarding the above imaging findings, Chiari I malformation with tonsillar herniation and cervicothoracic syrinx formation is diagnosed.