It Depends: For patients with cm-i who are clearly symptomatic with lower cranial nerve palsies, syringomyelia, myelopathy, cerebellar symptoms, severe neck pain or occipital headache related to the chiari malformation, surgical decompression of the foramen magnum is so somtimes reccomended. Asymptomatic patients with an incidental diagnosis of cm-i who do not have syringomyelia can be managed conservatively.
Answered 3/31/2012
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