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                                                      PRINTER'S NO. 2661

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE RESOLUTION

No. 456 Session of 2007


        INTRODUCED BY SIPTROTH, BOBACK, BRENNAN, CALTAGIRONE, CAUSER,
           CREIGHTON, DiGIROLAMO, DONATUCCI, FRANKEL, FREEMAN, GEIST,
           GIBBONS, GINGRICH, GRUCELA, HARHART, HENNESSEY, JAMES,
           JOSEPHS, KENNEY, KOTIK, KULA, MANTZ, McILHATTAN, MELIO,
           MENSCH, MICOZZIE, MILLARD, MILNE, MURT, PALLONE, PARKER,
           PASHINSKI, PAYNE, PHILLIPS, RAPP, READSHAW, REICHLEY, ROSS,
           SAINATO, SANTONI, SCAVELLO, SCHRODER, SONNEY, STABACK,
           SWANGER, THOMAS, VULAKOVICH, WANSACZ, J. WHITE, WOJNAROSKI,
           YOUNGBLOOD, GOODMAN AND HORNAMAN, OCTOBER 17, 2007

        INTRODUCED AS NONCONTROVERSIAL RESOLUTION UNDER RULE 35,
           OCTOBER 17, 2007

                                  A RESOLUTION

     1  Recognizing and promoting awareness of Chiari malformation.

     2     WHEREAS, Chiari malformation, as recognized by the National
     3  Institute of Neurological Disorders and Stroke, includes a
     4  complex group of disorders characterized by herniation of the
     5  cerebellum; and
     6     WHEREAS, The herniated tissue blocks the circulation of
     7  cerebrospinal fluid in the brain which can lead to the formation
     8  of a cavity within the spinal cord; and
     9     WHEREAS, Symptoms of Type I Chiari malformation include:
    10  severe headache, dizziness, vertigo, disequilibrium, visual
    11  disturbances, difficulty swallowing, heart palpitations, sleep
    12  apnea, impaired fine motor skills, chronic fatigue and painful
    13  tingling of the hands and feet; and


     1     WHEREAS, Because of the complex symptomology, patients with
     2  Type I Chiari malformation are frequently misdiagnosed; and
     3     WHEREAS, Type II Chiari malformation, also called Arnold-
     4  Chiari malformation, is usually accompanied by a
     5  myelomeningocele, a form of spina bifida that occurs when the
     6  spinal canal and the backbone do not close before birth, causing
     7  the spinal cord to protrude through an opening in the back,
     8  which can result in partial or complete paralysis below the
     9  spinal opening; and
    10     WHEREAS, Type III Chiari malformation, the most serious form,
    11  results in severe and often irreversible neurological defects;
    12  and
    13     WHEREAS, Treatment for this disorder is not a certain and
    14  definitive path, and medication may ease certain symptoms such
    15  as pain, but often surgery is the only treatment available to
    16  correct functional disturbances or halt the progression of
    17  damage to the central nervous system; and
    18     WHEREAS, Until recently, Chiari malformation was regarded as
    19  a rare condition, but with the increased use of magnetic
    20  resonance imaging, the number of reported cases has risen from
    21  200,000 to 2 million Americans; and
    22     WHEREAS, New genetic studies support a hereditary tendency
    23  with a transmissibility rate of 12%; and
    24     WHEREAS, The studies also found that women are three times
    25  more likely to be afflicted by the debilitating disorder than
    26  men; therefore be it
    27     RESOLVED, That the House of Representatives recognize the
    28  importance of making Pennsylvanians aware of Chiari malformation
    29  and help promote advocacy for this important cause.

    I19L82SFL/20070H0456R2661        - 2 -