Dr. Beth explores the relationship between Arnold Chiari Malformations and headaches and migraines

 

Today is Day 3 of National Pain Week and we have been exploring the connection between headaches and migraines and other health conditions. Today we are speaking about Arnold Chiari Malformations. 

Arnold Chiari Malformations (ACMs), headaches, and migraines are interrelated medical conditions that can cause discomfort and pain in the head and neck region. ACMs are structural defects in the brain and spinal cord that can cause headaches and migraines, while headaches and migraines are common symptoms associated with ACMs. Understanding the connection between these conditions can help patients better understand their symptoms and treatment options.

Arnold Chiari Malformations are a group of structural defects in the brain that occur when a portion of the brain called the cerebellum descends into the spinal canal. There are four different types of ACMs, ranging from mild to severe, and each type can have different symptoms and treatment options. Common symptoms of ACMs include headaches, neck pain, dizziness, and balance problems. ACMs can also cause other symptoms such as muscle weakness, tingling, and numbness in the arms and legs.

Headaches are one of the most common symptoms of ACMs. The headaches associated with ACMs are often described as a persistent, pressure-like pain that worsens with coughing, straining, or physical activity. The location of the headache can vary, but it is often centered at the base of the skull or in the neck. In some cases, the headache can be severe enough to limit daily activities.

Migraines are another common symptom of ACMs. Migraines are a type of headache that is accompanied by a range of symptoms, including light sensitivity, sound sensitivity, nausea, and vomiting. Some people experience an "aura" before a migraine, which can include visual disturbances, difficulty speaking, and a tingling or numbness in the face or extremities.

The connection between ACMs, headaches, and migraines is believed to be related to the pressure that the malformation places on the brainstem and spinal cord. When the brainstem and spinal cord are compressed, it can cause headaches, migraines, and other symptoms. Additionally, the compression can disrupt the normal flow of cerebrospinal fluid, which is the fluid that surrounds and protects the brain and spinal cord.

Whilst headaches and migraines can be a common symptom of ACMs, those with ACMs are also prone to headaches and migraines caused by dysfunctions in the upper cervical spine caused by lifestyle and postural factors that when treated, can yield significant changes to their symptoms. Assessment and rehabilitation exercises can also be given to help with vestibular (dizziness/vertigo) and balance problems. Assessment and treatment should be performed by someone with advanced knowledge and training in the field of headaches, migraine and vestibular disorders and with experience with Arnold Chiari Malformations. 

Diagnosing ACMs can be a challenge, as symptoms can be similar to other conditions such as tension headaches and sinus headaches. A doctor may use imaging tests such as magnetic resonance imaging (MRI) or computed tomography (CT) scans to diagnose ACMs. 

In conclusion, Arnold Chiari Malformations, headaches, and migraines are interrelated conditions that can cause discomfort and pain in the head and neck region. Understanding the connection between these conditions can help patients better understand their symptoms and treatment options. 

The practitioners at Melbourne Headache Solutions have training and experience in treating those with Arnold Chiari Malformations and helping those with their headaches, migraines and vestibular problems. If you would like to know more about how they may be able to help you, please call reception on (03) 9486 7543 today.