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A 27-year-old member asked:

is it possible for me to live with a chiari malformation and not have surgery?

3 doctor answers9 doctors weighed in
Dr. Ramin AmirNovin
Neurosurgery 21 years experience
Yes: Many people have minor or no symptoms from their chiari 1 malformations. It is important to see your neurologist or neurosurgeon to properly assess your exam and complaints to see if your chiari is the major cause of your symptoms. If not, then you can definitely live without surgery for the chiari.
Dr. Robert Singer
Neurosurgery 29 years experience
Absolutely: Some patients have anatomy consistent with a chiari malformation that never need treatment...
Dr. Matt Malkin
Anesthesiology 16 years experience
Yes: Many people go through life completely unaware they have chiari malformation until they get their head and neck imaged for an unrelated injury. Good to know, but doesn't necessarily require surgery. If you need a spinal tap, then things get a bit murky so put it on your med history anyway.

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I am taking 60 mg phenobarbital daily after my skull tumor operation in 1995. What precautions should I take for my daily routine?

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Dr. Mark Fisher
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Ask yourself why: Was it a skull tumor or brain tumor? Why was the drug started in the 1st place? For seizure prevention? Have you ever had a seizure? Do you still need it? If you still need a seizure med, why phenobarbital? That's a bad drug for adults: bad for your bones, not great for your liver either. Go see a neurologist and ask him/her to reassess everything.
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Last updated Apr 13, 2019
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