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

Burning

 (CC-23, 24: F-4, 21)

 Y ? Y

Usually bilateral

 (CM-11, 28, 45: CC-23, 24, 37: F-4, 21)

 Y Y Y
Feeling of “tightness”

 (CM-45: CC-23: F-4, 21)

 Y Y Y
Feeling of “stiffness”

 (CM-45: CC-37: F-4, 21)

 Y Y Y
Legs about to “collapse”

 (CM-11, 13, 36: CC-23, 37: F-4, 21)

 Y Y Y
Autonomic Changes      
Facial      
 

Flushing

 (CC-24: F-17)

 Y ? Y
 

Lacrimation (secretion/discharge of tears)

 (CC-24)

 ? ? Y
 

Sweating

 (CM-48: CC-24)

 ? Y Y
 

Pupillary change

 (CM-45: CC-24: F-3, 21)

 Y Y Y
Sympathetic: Frequent      
Raynaud’s phenomenon  (elevated cold sensitivity in the extremities)

 (CM-35: CC-1, 5, 24, 29, 54: F-17, 18, 21)

 Y Y Y
 

Dry eyes

 (CM-45: CC-24: F-4, 5)

 Y Y Y

             Y  Symptom          N  Not a Symptom          ? Unknown

F   Fibromyalgia      CM  Chiari Malformation (Neurological)      CC  Compressed Cervical Spinal Cord(Neurological)

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