A 43-year-old member asked:
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baby just diagnosed with chiari malformation?

1 doctor answer
Dr. Edward Smith
54 years experience Neurosurgery
Chiari 1? 4?: Chiari malformation has one common trait in its 4 different degrees of severity. Chiari 4 is immediately obvious at birth or on pre-partum ultrasound exhibiting skin defects in lumbar area with herniation of nerves through the defect. Chiari 1 is much more common and often asymptomatic, consisting of extension of cerebellum into upper spinal canal. Headaches are commonest symptom.
Answered on Nov 22, 2012
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The brain: should be scanned to look for Chiari malformations. A cervical spine MRI could show it as well, but the most appropriate study would be the brain.
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