Master of Science in Nursing (MSN) Student Scholarship

Date Written

Summer 8-2-2017

Document Type


Course Number


Course Name

Advanced Pathophysiology

Professor’s Name

Dr. Chovan


Chiari Malformations, Headache, CM-I, cerebellar tonsillar herniation

Subject Categories

Medicine and Health Sciences | Nursing


The well prepared advanced practice nurse will have a solid understanding of anatomy and physiology, as well as pathophysiological principles. The APN that practices in the emergency department or in the acute care setting should be familiar with a variety of common neurological disorders.

The National Institute of Neurological Disorders and Stroke (NIH) estimate that greater than 1 out of every 1000 persons will be identified with a Chiari malformation (CM) and the greater majority diagnosed will be female (National Institute of Neurological Disorders and Stroke [NIH], 2013, para. 6). Chiari malformations can be congenital or acquired and are staged as I, II, III, IV, 0 or 1.5. Stage I is the most common and it the only type that can be acquired. Not all CMs require treatment. There are CMs that only require monitoring as they are asymptomatic; however, other CMs can cause severe impairment and require surgical intervention. Effective management of chronic conditions, such as CM, can have profound effects on a variety of factors such as patient morbidity, mortality rates and health care utilization. For a nurse with a strong background in neurological intensive care, the study of neurological conditions is an especially significant area of interest.



Included in

Nursing Commons



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