Pressure in head, dizziness, and nausea
Doctors stated that the type 1 cerebellum sagging is more common in youth, “The main feature of this type of anomaly is that the tonsils of the cerebellum are protruding into the cervical spinal canal under the foramen magnum. pressure changes and increased intracranial pressure There are 3 theories suggested in the formation of this disease. causes of Pressure in head, dizziness, and nausea
Hydrodynamic theory; This anomaly occurs due to the pressure difference between intracranial pressure and spinal canal, mechanical theory; There is a disturbance of CSF circulation due to adhesions in the cerebellum, improper development; Cerebellum tissues are elongated as a local extension of the common developmental disorder.
Head pressure dizziness
Akdemir stated that the most common complaints of cerebellum sagging are the pain in the head, nape, neck, and shoulders, especially after intermittent increased intracranial pressure. It follows the pain and stiffness that spreads to the shoulders.
In addition, shoulder, waist or leg pains are seen and these pains are not reflected. Pain and pressure or pressure on the nape, shoulders, and arms are the most common complaints. These pains are followed by dizziness imbalance complaints. As a reflection of increased intracranial pressure, there are complaints of blurred vision in the eyes, double vision, pain behind the eyes and feeling of pressure, and not being able to look at the sun and the sun.
Most often (70 percent) neurological deficits, especially motor and sensory deficits, are also extremities, and this finding is observed in those with cysts in the spinal canal. After that, 30-40 percent of walking disorders (ataxias) are seen.
Less frequently, 15-25 percent swallowing difficulties, speech impairment, nystagmus, and cerebellum cranial nerve paralysis are observed. The balance disorder under the title of Ataxia is dominant. In 30 percent of childhood and adolescent progressive scoliosis, Type 1 cerebellum sagging is found together. ”
Stating that the treatment of this anomaly is surgical, Akdemir said, “Unfortunately, this anomaly has no treatment other than surgical procedure. The main question in the treatment is whether this anomaly complains or not, the answer to this question is very important.
The aim of surgical treatment is to restore the posterior pit bone structures to relieve neural structures that deteriorate in the craniocervical region and to correct CSF circulation. Surgical techniques applied in cerebellum prolapse type 1 surgical treatment; suboccipital craniectomy, removal of arachnoid adhesions, tonsillar resection and duraplasty.
Causes of anterior compression before performing suboccipital decompression; platform, C-1 assimilation should be defined. In such cases, other anomalies accompanying cerebellum sagging should be correctly identified. In this case, after removing the front pressure by mouth, surgical intervention should be considered. The first problem in patients with pediatric A-Chiari malformation is a surgical indication. In this age group, the A-Chiari type 1 diagnosis is a mostly incidental finding.
There is no definite consensus for surgical treatment in this age group. In the results of the surgical treatment of adult group Arnold-Chiari malformations, especially suboccipital craniectomy, C-1 laminectomy, 100 percent of patients who underwent duraplasty, complaints, and 80 percent of patients with syringomyelia have shrinkage in cavitation. “