|
Comparable Symptoms of
Fibromyalgia and
Chronic Fatigue Syndrome
Chiari Malformation
Cervical Spinal Cord Compression |
|
Y
Symptom
N
Not
a Symptom
? Unknown |
|
F
Fibromyalgia
CM
Chiari Malformation (Neurological)
CC
Compressed Cervical Spinal Cord (Neurological)
|
|
Symptoms |
Fibromyalgia
Chronic Fatigue
Syndrome |
Chiari
Malformation |
Compressed
Cervical
Spinal Cord |
| General |
|
|
|
Fatigue
(CM-11: CC-1: F-3, 4, 11, 20) |
Y |
Y |
Y |
Sleep disturbance
(CM-11, 13: CC-3: F-5, 7, 14, 21) |
Y |
Y |
Y |
Restless leg syndrome
(CC-44: F-23) |
Y |
? |
Y |
Impaired memory
(CM-11: CC-3: F-3, 18, 21) |
Y |
Y |
Y |
Impaired concentration
(CM-11: CC-3: F-3, 18, 21) |
Y |
Y |
Y |
Nervousness
(CM-11: CC-1: F-3, 18, 21) |
Y |
Y |
Y |
Depression
(CM-11: F-3, 8, 18, 21) |
Y |
Y |
N |
Leg cramps
(CM-13: CC-37, 47: F-23) |
Y |
Y |
Y |
Disorientation
(CM-11, 13: F-3, 18, 21) |
Y |
Y |
N |
Word finding difficulty
(CM-21: F-3, 18, 21) |
Y |
Y |
N |
|
Symptoms worse with neck
extension
(CM-2, 9, 11, 13, 35, 45: CC-19, 38, 49, 50) |
? |
Y |
Y |
| Pain |
|
|
|
|
Headache |
|
|
|
|
Cough
(CM-4, 11, 36, 42, 45, 53: CC-35, 53) |
? |
Y |
Y |
|
Suboccipital (below back of
brain)
(CM-4, 11, 36, 42, 45, 53: CC-35, 53: F-9, 12) |
Y |
Y |
Y |
|
Migraine
(CM-42, 52, 53: CC-52, 53: F-9, 12) |
Y |
Y |
Y |
|
Muscle contraction/tension
(CM-42: CC-37, 47) |
? |
Y |
Y |
|
Atypical
(CC-24) |
? |
N |
Y |
|
Cluster
(CC-24) |
? |
N |
Y |
|
Temporal (temple)
(CM-11, 13, 28, 35, 41, 43, 45) |
? |
Y |
N |
|
Vertex (top)
(CM-11, 13, 28, 35, 41, 43, 45) |
? |
Y |
N |
|
Retro-bulbar (behind eyeball)
(CM-45) |
? |
Y |
N |
|
Facial
(CM-45: CC-28: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Neck
(CM-4, 11, 13, 36, 41, 42, 43, 45: CC-1, 10, 15, 27, 55: F-2, 4, 10, 15, 21) |
Y |
Y |
Y |
|
Chest
(CM-4, 13: CC-1, 24: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Back
(CM-13, 36, 42, 45: CC-1, 6, 37, 47: F-2, 4, 10, 15, 21) |
Y |
Y |
Y |
Thoracolumbar (mid-back
& lower
back vertebrae)
(CM-45: CC-23, 24, 27, 33, 37, 38, 47: F-2, 4, 10, 15, 21) |
Y |
Y |
Y |
|
Flank/iliac crest (side
of body between
ribs & pelvis)
(F-3, 21)
|
Y |
N |
N |
| Muscle pain
(F-4, 5, 15) |
Y |
N |
N |
Joint pain
(F-4, 5, 15) |
Y |
N |
N |
| Appendicular
Pain |
|
|
|
|
Upper extremity |
|
|
|
|
Shoulder
(CM-4, 36: CC-10: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Burning
(CM-11: CC-1, 6, 23, 24, 37, 47, 51: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Formications (sensation of
small crawling insects)
(CM-11: CC-1, 6, 23, 24, 37, 47, 51: F-4, 10, 15, 21) |
Y |
Y |
Y |
Lower extremity
|
|
|
|
|
Dysesthesiae (sensation
impairment), burning pain
(CM-11: CC-1, 6, 23, 24, 37, 47, 51: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Plantar (sole of foot)
(CM-13, 36, 43: CC-10: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Buttock
(CC-23: F-4, 10, 15, 21) |
Y |
? |
Y |
|
Thigh
(CM-13: CC-23: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Calves
(CM-13: CC-37: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Ankles
(CM-13: CC-37: F-4, 10, 15, 21) |
Y |
Y |
Y |
Burning, aching, dysesthetic electric
(CM-11: CC-1, 6, 23, 24, 37, 47, 51: F-4, 10, 15, 21) |
Y |
Y |
Y |
|
Lhermitte’
sign (tingling, shock-like
sensation)
(CC-1, 23, 24, 32, 37, 38, 47) |
? |
Rare |
Y |
Interscapular (between shoulders)
(CM-4, 36: CC-23: F-2, 4, 10, 15, 21) |
Y |
Y |
Y |
| Cranial
Nerve/Brainstem |
|
|
|
|
Ocular (eye) |
|
|
|
|
Sixth nerve paresis (slight
paralysis)
(CM-11, 13, 35: F-3, 12, 18, 21) |
Y |
Y |
N |
|
Diplopia (double vision)
(CM-11, 41, 45: F-3, 12, 18, 21) |
Y |
Y |
N |
|
Blurred vision
(CM-11, 41, 45: F-3, 12, 18, 21) |
Y |
Y |
N |
Otoneurological (having to
do with ears)
|
|
|
|
|
Hearing loss
(CM-18, 30, 36, 45: F-3, 12, 18, 21) |
Y |
Y |
N |
|
Hyperacusis (abnormally acute hearing)
(CM-11: F-4, 12, 18, 21) |
Y |
Y |
N |
|
Tinnitus (noise in ear)
(CM-13, 36, 45: F-4, 12, 18, 21) |
Y |
Y |
N |
|
Vertigo (sensation of spinning)
(CM-11, 13, 36: F-3, 4, 12, 18, 21) |
Y |
Y |
N |
|
Dizziness
(CM-45: F-3, 4, 12, 18, 21) |
Y |
Y |
N |
|
Dysequilibrium (imbalance)
(CM-11, 13: CC-23, 37: F-3, 4, 12, 18, 21) |
Y |
Y |
Y |
Facial numbness
(CM-36: CC-35) |
N |
Y |
Y |
Sleep apnea
(CM-11, 13, 35, 36, 39, 43: F-5) |
Y |
Y |
N |
Other respiratory disturbance
(CM-11, 13, 35, 36, 39, 43) |
? |
Y |
N |
Nausea and/or vomiting
(CM-11, 13: F-6, 13) |
Y | Y |
N |
|
IX-X (9-10 cranial nerves) |
|
|
|
|
Dysarthria
(imperfect articulation of
speech)
(CM-11, 13, 36, 43, 45) |
? |
Y |
N |
|
Vocal cord involvement,
hoarseness
(CM-39, 45) |
? |
Y |
N |
|
Singultus (hiccup)
(CM-25, 36) |
? |
Y |
N |
|
Snoring
(CM-36) |
? |
Y |
N |
Nystagmus (rapid eye movement)
(CM-11, 13, 28, 36, 43, 45: F-18, 22) |
Y |
Y |
N |
|
Dysautonomia (defective
tear secretion, skin blotching, emotional instability, motor incoordination,
weakened
reflexes) |
|
|
|
|
Horner's syndrome
(paralysis
of cervical sympathetic nerves)
(CM-35: CC-1, 5, 24, 29, 54) |
? |
Y |
Y |
|
Hyperhidrosis (excessive perspiration)
(CM-48: CC-24) |
? |
Y |
Y |
|
Syncope (faint, temporary loss of consciousness)
(CM-11, 45: CC-12: F-4, 5, 20) |
Y |
Y |
Y |
|
Neurally mediated hypotension
(low blood pressure)
(CM-45: CC-1, 24: F-4, 5, 17, 20) |
Y |
Y |
Y |
Lethargy (drowsiness)
(CM-11: F-4, 5, 14) |
Y |
Y |
N |
Dysphagia (difficulty swallowing)
(CM-11, 13, 36, 41, 43, 45: F-13) |
Y |
Y |
N |
| Spinal |
|
|
|
|
Motor |
|
|
|
|
Upper
extremity weakness
(CM-4, 11, 13, 36, 41, 43, 45: CC-10: F-20, 21) |
Y | Y |
Y |
|
Central cord syndrome
(CM-42, 43: CC-27, 32) |
? |
Y |
Y |
|
Lower extremity weakness
(CM-11, 13, 28, 36, 41, 43, 45: CC-10: F-20, 21) |
Y |
Y |
Y |
|
Hemiparesis (slight paralysis-
OOOone side of body)
(CM-13, 36: CC-29) |
? |
Y |
Y |
|
Quadriparesis (slight paralysis-all four limbs)
(CM-13, 36: CC-29) |
? |
Y |
Y |
|
Stiffness
(CM-45: CC-37: F-20, 21) |
Y |
Y |
Y |
|
Sensory |
|
|
|
|
Upper
extremity numbness
(CM-4, 13, 36, 43, 45: CC-10: F-20, 21) |
Y |
Y |
Y |
|
Arms only
(CM-4, 13: CC-32, 47, 55: F-20, 21) |
Y |
Y |
Y |
|
Cervical
(CM-4, 13: CC-32, 47, 55) |
? |
Y |
Y |
|
Chest
(CM-4: CC-1, 24: F-20, 21) |
Y |
Y |
Y |
|
Trunk only
(CM-13: CC-27: F-20, 21) |
Y |
Y |
Y |
|
Lower extremity numbness
(CM-13, 36, 43, 45: CC-10: F-20, 21) |
Y |
Y |
Y |
|
Legs only
(CM-13: CC-27: F-20, 21) |
Y |
Y |
Y |
|
Hemisensory (slight paralysis of sensation)
(CM-13: CC-37) |
? |
Y |
Y |
|
Trophic ulcers (excavation
of the surface of an organ or tissue)
(CM-36: CC-27) |
? |
Y |
Y |
|
Paresthesiae (abnormal sensation-burning, prickling)
(CM-36: CC-1, 6, 23, 24, 37, 47, 51: F-4, 15, 21) |
Y |
Y |
Y |
Ataxia (failure of muscle
coordination)
(CM-11, 13, 41, 43, 45: CC-26) |
N |
Y |
Y |
Bowel dysfunction
(CM-11: CC-10: F-8) |
Y |
Y |
Y |
|
Urinary |
|
|
|
|
Incontinence
(inability to control excretory
functions)
(CM-13, 36, 45: CC-5: F-8, 18) |
Y |
Y |
Y |
|
Frequency
(CM-11: CC-37: F-8, 18) |
Y |
Y |
Y |
|
Hesitancy
(CM-11: CC-1, 37: F-8, 18) |
Y |
Y |
Y |
Sexual dysfunction
(CM-11, 45: CC-23, 24: F-16) |
Y |
Y |
Y |
Drop
Attacks
| |
|
|
|
Drop Attacks
(CM-11, 13, 36: CC-20, 37) |
N |
Y |
Y |
| Symptoms
Precipitated by Trauma |
|
|
|
Physical trauma
(CM-7, 17, 40: CC-8, 10, 22: F-1, 2) |
Y |
Y |
Y |
Whiplash
(CM-7, 17, 40: CC-8, 10, 22: F-1, 2) |
Y |
Y |
Y |
Surgery
(CM-7, 17, 40: CC-1, 1, 14, 49: F-1) |
Y |
Y |
Y |
| Sudden
Death |
|
|
|
Sudden death
(CM-8) |
? |
Y |
N |
| Pattern
(refers
to # of sub-syndromes of how Chiari might present) |
|
|
|
|
Central cord syndrome |
|
|
|
|
Syringomyelia (fluid-filled
cavities-spinal cord)
(CM-41, 43: CC-46) |
? |
Y |
Y |
|
No syrinx (tube or
pipe - fluid-filled)
(CM-41: CC-46) |
? |
Y |
Y |
|
Foramen magnum
(opening at bottom of skull for spinal cord) |
|
|
|
|
Syringomyelia
(CM-41) |
? |
Y |
N |
|
No syrinx
(CM-41) |
? |
Y |
N |
| Myelopathic |
|
|
|
May be asymmetrical (dissimilarity
in corresponding parts)
(CM-11, 28, 45: CC-16: F-1, 2) |
Y |
Y |
Y |
Often worse with exertion
(CM-11, 28, 45: CC-24: F-4, 19, 21) |
Y |
Y |
Y |
Worse in a.m.
(CM-11, 28, 45: CC-23, 24) |
? |
Y |
Y |
Worse at night
(CC-23, 24) |
? |
? |
Y |
| |
