A trigger (from the Dutch trekken, meaning to pull) is a lever which, when pulled by the finger, releases the hammer on a firearm. In a database, a trigger is a set of Structured Query Language (SQL) statements that automatically fires off an action when a specific operation, such as changing data in a table, occurs. A trigger consists of an event (an INSERT, DELETE, or UPDATE statement issued against an associated table) and an action (the related procedure).
There are a wide variety of conditions that can be considered in the differential diagnosis of a Chiari malformation. The symptoms commonly associated with a Chiari malformation are vague and common to numerous other conditions. Some disorders are common misdiagnoses for individuals with a Chiari malformation. Such conditions include multiple sclerosis, chronic fatigue syndrome, fibromyalgia and spinal cord tumors.
Symptoms. The most common symptom of Chiari malformation is a headache, which begins at the back of the head (neck) and radiates upward. The pain is often made worse or can be brought on by coughing, sneezing or straining. These activities are known as valsalva maneuvers.here are several different forms. The most common type is the Chiari I malformation (CM) which this article addresses. Less commonly, it may be known as Arnold-Chiari malformation, tonsillar herniation or tonsillar ectopia. Most cases of Chiari are congenital, meaning they are present from birth.