Comparable Symptoms of | |||
| Y Symptom N Not a Symptom ? Unknown | |||
| Symptoms | Fibromyalgia Chronic Fatigue Syndrome | Chiari Malformation | Compressed Cervical Spinal Cord |
| General | |||
 Fatigue | Y | Y | Y |
| Sleep disturbance | Y | Y | Y |
| Restless leg syndrome | Y | ? | Y |
| Impaired memory | Y | Y | Y |
| Impaired concentration | Y | Y | Y |
| Nervousness | Y | Y | Y |
| Depression | Y | Y | N |
| Leg cramps | Y | Y | Y |
| Disorientation | Y | Y | N |
| Word finding difficulty | Y | Y | N |
| Symptoms worse with neck extension | ? | Y | Y |
| Pain | |||
| Headache | |||
 Cough | ? | Y | Y |
| Suboccipital (below back of brain) | Y | Y | Y |
| Migraine | Y | Y | Y |
| Muscle contraction/tension | ? | Y | Y |
| Atypical | ? | N | Y |
| Cluster | ? | N | Y |
| Temporal (temple) | ? | Y | N |
| Vertex (top) | ? | Y | N |
| Retro-bulbar (behind eyeball) | ? | Y | N |
| Facial | Y | Y | Y |
| Neck | Y | Y | Y |
| Chest | Y | Y | Y |
| Back | Y | Y | Y |
| Thoracolumbar (mid-back & lower back vertebrae) | Y | Y | Y |
|
| Y | N | N |
| Muscle pain | Y | N | N |
| Joint pain | Y | N | N |
| Appendicular Pain | |||
| Upper extremity | |||
| Shoulder | Y | Y | Y |
| Burning | Y | Y | Y |
| Formications (sensation of small crawling insects) | Y | Y | Y |
| Lower extremity | |||
| Dysesthesiae (sensation impairment), burning pain | Y | Y | Y |
| Plantar (sole of foot) | Y | Y | Y |
| Buttock | Y | ? | Y |
| Thigh | Y | Y | Y |
| Calves | Y | Y | Y |
| Ankles | Y | Y | Y |
| Burning, aching, dysesthetic electric | Y | Y | Y |
| Lhermitte’s (tingling, shock-like sensation) | ? | Rare | Y |
| Interscapular (between shoulders) | Y | Y | Y |
| Cranial Nerve/Brainstem | |||
| Ocular (eye) | |||
| Sixth nerve paresis (slight paralysis) | Y | Y | N |
| Diplopia (double vision) | Y | Y | N |
| Blurred vision | Y | Y | N |
| Otoneurological (having to do with ears) | |||
| Hearing loss | Y | Y | N |
| Hyperacusis (abnormally acute hearing) | Y | Y | N |
| Tinnitus (noise in ear) | Y | Y | N |
| Vertigo (sensation of spinning) | Y | Y | N |
| Dizziness | Y | Y | N |
| Dysequilibrium (imbalance) | Y | Y | Y |
| Facial numbness | N | Y | Y |
| Sleep apnea | Y | Y | N |
| Other respiratory disturbance | ? | Y | N |
| Nausea and/or vomiting | Y | Y | N |
| IX-X (9-10 cranial nerves) | |||
| Dysarthria (imperfect articulation of speech) | ? | Y | N |
| Vocal cord involvement, hoarseness | ? | Y | N |
| Singultus (hiccup) | ? | Y | N |
| Snoring | ? | Y | N |
| Nystagmus (rapid eye movement) | Y | Y | N |
| Dysautonomia (defective tear secretion, skin blotching, emotional instability, motor incoordination, weakened reflexes) | |||
| Horner's syndrome (paralysis of cervical sympathetic nerves) | ? | Y | Y |
| Hyperhidrosis (excessive perspiration) | ? | Y | Y |
| Syncope (faint, temporary loss of consciousness) | Y | Y | Y |
| Neurally mediated hypotension (low blood pressure) | Y | Y | Y |
| Lethargy (drowsiness) | Y | Y | N |
| Dysphagia (difficulty swallowing) | Y | Y | N |
| Spinal | |||
| Motor | |||
| Upper extremity weakness | Y | Y | Y |
| Central cord syndrome | ? | Y | Y |
| Lower extremity weakness | Y | Y | Y |
| Hemiparesis (slight paralysis- OOOone side of body) | ? | Y | Y |
| Quadriparesis (slight paralysis-all four limbs) | ? | Y | Y |
| Stiffness | Y | Y | Y |
| Sensory | |||
| Upper extremity numbness | Y | Y | Y |
| Arms only | Y | Y | Y |
| Cervical | ? | Y | Y |
| Chest | Y | Y | Y |
| Trunk only | Y | Y | Y |
| Lower extremity numbness | Y | Y | Y |
| Legs only | Y | Y | Y |
| Hemisensory (slight paralysis of sensation) | ? | Y | Y |
| Trophic ulcers (excavation of the surface of an organ or tissue) | ? | Y | Y |
| Paresthesiae (abnormal sensation-burning, prickling) | Y | Y | Y |
| Ataxia (failure of muscle coordination) | N | Y | Y |
| Bowel dysfunction | Y | Y | Y |
| Urinary | |||
| Incontinence (inability to control excretory functions) | Y | Y | Y |
| Frequency | Y | Y | Y |
| Hesitancy | Y | Y | Y |
| Sexual dysfunction | Y | Y | Y |
| Drop Attacks | |||
| Drop Attacks | N | Y | Y |
| Symptoms Precipitated by Trauma | |||
| Physical trauma | Y | Y | Y |
| Whiplash | Y | Y | Y |
| Surgery | Y | Y | Y |
| Sudden Death | |||
| Sudden death | ? | Y | N |
| Pattern (refers to # of sub-syndromes of how Chiari might present) | |||
| Central cord syndrome | |||
| Syringomyelia (fluid-filled cavities-spinal cord) | ? | Y | Y |
| No syrinx (tube or pipe - fluid-filled) | ? | Y | Y |
| Foramen magnum (opening at bottom of skull for spinal cord) | |||
| Syringomyelia | ? | Y | N |
| No syrinx | ? | Y | N |
| Myelopathic | |||
| May be asymmetrical (dissimilarity in corresponding parts) | Y | Y | Y |
| Often worse with exertion | Y | Y | Y |
| Worse in a.m. | ? | Y | Y |
| Worse at night | ? | ? | Y |
| Burning | ? | ? | Y |
| Usually bilateral | Y | Y | Y |
| Feeling of “tightness” | ? | Y | Y |
| Feeling of “stiffness” | ? | Y | Y |
| Legs about to “collapse” | Y | Y | Y |
| Autonomic Changes | |||
| Facial | |||
| Flushing | Y | ? | Y |
| Lacrimation (secretion/discharge of tears) | ? | ? | Y |
| Sweating | ? | Y | Y |
| Pupillary change | Y | Y | Y |
| Sympathetic: Frequent | |||
| Horner’s (cervical/neck sympathetic nerve disorder) | ? | Y | Y |
| Raynaud’s phenomenon (elevated cold sensitivity in the extremities) | Y | Y | Y |
| Dry eyes | Y | Y | Y |
| Y Symptom N Not a Symptom ? Unknown | |||
Thursday, March 1, 2007
Compare Symptoms
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