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  • Questionnaire of clinical symptoms of Chiari malformation: prospects for use in adult patients in the Republic of Tatarstan

    Редактор | 2024, Original articles, Practical medicine part 22 №4. 2024 | 31 августа, 2024

    А.Т. FAIZUTDINOVA1, 2, E.I. BOGDANOV1, 2, T.G. SAKOVETS1, 2, M.M. KHABIBRAKHMANOVA3, M.A. KHAIRULLOV1, S.V. FILIMONCHEVA1, V.I. ANISIMOV1, A.G. AKHUNOVA1, R.I. DAVLETSHINA1, R.I. RAKHIMULLINA1, D.F. SEMUSHINA1, KH.I. MAMEDOV1, A.R. AKHMETOVA2, Z.I. SAFINA2

     1Republic Clinical Hospital, Kazan

    2Kazan State Medical University, Kazan

    3Gymnasium No. 21, Kazan

     Contact details:

    Faizutdinova A.T. — PhD (Medicine), Associate Professor of the Department of Neurology, neurologist of Clinical Expert Department

    Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel.: +7-903-306-44-38, e-mail: aisluzab@mail.ru

     The clinical symptoms of Chiari malformation type 1 (CM1) are formed as a result of a combination of traction, compression, and occlusive processes in patients with a small volume of the posterior cranial fossa and dislocation of the cerebellar tonsils and are characterized by a wide variety combined with low specificity. This complicates the clinical diagnosis of this pathology, assessment of its severity and dynamics. Currently, the only clinical symptoms questionnaire designed specifically for patients with СM1 is the Chiari Symptom Profile (CSP), created by D.M. Muller and J.J. Oro and tested on an English-speaking cohort of adult patients. The Republic of Tatarstan is one of the regions of the Russian Federation with an increased incidence of СM1 and СM1-associated syringomyelia, which determines the relevance of studying the clinical symptoms of СM1 and searching for methods of early clinical diagnosis of this pathology.

    The purpose of this work was to determine the prospects of using the CSP questionnaire in adult CM-patients with Chiari malformation in the Republic of Tatarstan. As a result of the standard procedure of translation, adaptation and approbation, versions of the questionnaire were created in the Russian and Tatar languages. Validation showed their reliability and discriminant validity.

    Key words: Chiari malformation type 1, syringomyelia, Chiari malformation type 0, headache, ectopia of the cerebellar tonsils, questionnaire validation.

    REFERENCES

    1. Bogdanov E.I. Dislocation of the cerebellar tonsils into the foramen magnum and the spectrum of Chiari malformations type 1. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova, 2022, no. 122 (4), pp. 7–15 (in Russ.). DOI: 10.17116/jnevro20221220417
    2. Heffez D.S., Broderick J., Connor M. et al. Is there a relationship between the extent of tonsillar ectopia and the severity of the clinical Chiari syndrome? Acta Neurochir, 2020, vol. 162, pp. 1531–1538. DOI: 10.1007/s00701-019-04171-1
    3. Mueller D.M., Oro’ J.J. The Chiari Symptom Profile: development and validation of a Chiari-/syringomyelia-specific questionnaire. J. Neurosci. Nurs, 2013, vol. 45 (4), pp. 205–210. DOI: 10.1097/JNN.0b013e3182986573
    4. Mummareddy N., Bhamidipati A., Shannon C.N. Assessing clinical outcome measures in Chiari I malformation. Neurosurg. Clin. N Am, 2023, vol. 34 (1), pp. 167–174. DOI: 10.1016/j.nec.2022.08.010
    5. Bogdanov E.I., Faizutdinova A.T., Mendelevich E.G. et al. Epidemiology of symptomatic Chiari malformation in Tatarstan: regional and ethnic differences in prevalence. Neurosurgery, 2019, vol. 84, pp. 1090–1097. DOI: 10.1093/neuros/nyy175
    6. Fayzutdinova A.T., Bogdanov E.I., Fatkheeva L.S., Timershin R.R. Disability in patients with Chiari malformation type 1. Prakticheskaya meditsina, 2019, no. 17 (6-1), pp. 49–53 (in Russ.). DOI: 10.32000/2072-1757-2019-6-49-53
    7. Wild D., Grove A., Martin M. et al. ispor task force for translation and cultural adaptation. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health, 2005, vol. 8 (2), pp. 94–104. DOI: 10.1111/j.1524-4733.2005.04054.x

    Метки: 2024, A.G. AKHUNOVA, A.R. AKHMETOVA, Chiari malformation type 0, Chiari Malformation Type 1, D.F. SEMUSHINA, E.I. BOGDANOV, ectopia of the cerebellar tonsils, headache, KH.I. MAMEDOV, M.A. KHAIRULLOV, M.M. KHABIBRAKHMANOVA, Practical medicine part 22 №4. 2024, questionnaire validation, R.I. DAVLETSHINA, R.I. RAKHIMULLINA, S.V. FILIMONCHEVA, syringomyelia, T.G. SAKOVETS, V.I. ANISIMOV, Z.I. SAFINA, А.Т. FAIZUTDINOVA

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