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Criteria
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|
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 |
|||
National Fibromyalgia Research Association
PO Box 500, Salem, OR 97302
