A member asked:

Can chiari malformation cause carpal and cupital tunnel syndrome symptoms in addition to migraines? is topamax (topiramate) useful for treatment of symptoms?

A doctor has provided 1 answer

No and yes: Carpal tunnel involves median nerve pinching over volar wrist, cubital tunnel, ulnar nerve at elbow, and both are peripheral compressive neuropathies. Chiari has likely been present for years and is coincidental, and unlikely to cause a migraine issue, but may affect base of brain and upper cord. Chiari not usually a cause of migraines, but topamax (topiramate) may prevent migraines.

Answered 3/19/2015

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