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Chiari 1, neurosurgeon=all symptoms chiari but dizziness, surg. If cine mri=blocked CSF. Ref to neuro-oto says all symptoms Chiari & do surg. Bc of sx., now what?
Chiari malformation: Chiari malformations are structural defects in the cerebellum (controls balance) in type I which can be acquired, the cerebellum is compressed through FM., as a result, the flow of cerebrospinal fluid is blocked. Your dizziness is due to imbalance from cerebellar compression which will improve with a shunt surgery. There is no role for Oto, this is not likely primary vestibular. ...Read more
A neurosurgeon is a specialist in the evaluation and treatment of disorders of the nervous system. This includes brain, spine, and peripheral nerve problems. The most common surgeries done are for back/neck problems, head injuries, brain tumors, aneurysms, and strokes. Training for neurosurgery is usually 6-8 years of residency training after medical school. There ...Read more
I have something wrong with my neck/skull. Can't get help or diagnosis. It may be chiari. I live in Louisiana. Neurosurgeons near me that can help?
How well informed on chiari malformation is the average neurosurgeon? Should this disease be treated by "specialist".
Most comfortable: All neurosurgeons should be trained in managing chiari malformations after completing residency. (i am assuming chiari i.) some just do more cases than others, but anyone who does cranial surgery should feel comfortable with it. I would say it is a pretty run-of-the-mill and straightforward problem in general. ...Read more
Can a neurosurgeon look at images I loaded to my file and tell me their opinion. I have neck pain. Doctors say it's not chiari but what else could it be?
Neck pain: Commonest causes are myofascial pain stress anxiety and cervical spondylosis the precence of a chiari malformation doesn't confirm it as a pain generator needs clinical correlation its pretty low in the differential list for neck pain in my practice pain with tenderness is muscular pain with passive extension is facet arthritis nerve impingement causes arm not neck pain ...Read more
My neurosurgeon my suggest surgery for chiari malformation. I have dizziness and gait disturbance that never goes away. Is this a common surgery?
My 15 yr old daughter MRI showed chiari 1 malform (7mm)she has been having bad daily headaches for 2 mos. She had been referred to a neurosurgeon?
Pediactric neurosurg: Make sure the pediatric neurosurgeon has a great deal of experience dealing with chiari 1 malformations. Usually in academic centers. ...Read more
I have an arachnoid cyst and a chiari 1 malformation. How will a neurosurgeon know which one is causing my tinitus, dizziness, and nausea?
Cyst Location: Unless the arachnoid cyst is in the area called your posterior fossa, the back of your skull area, the dizziness would more likely be related to a chiari. The tinnitus should be assessed by ENT with hearing test. The nausea if it is exertional may be a sign of vertigo or due to the chiari if associated with a headache. I agree you need some workup to tease things out. ...Read more
Arnold-Chiari: A-c is a malformation of the brain consisting of a downward displacement of the cerebellar tonsils through the opening at the base of the skull, sometimes causing non-communicating hydrocephalus as a result of obstruction of cerebrospinal fluid (CSF) outflow. It can cause headaches, fatigue, facial muscle weakness, difficulty swallowing, dizziness, nausea, incoordination, and paralysis. ...Read more
Three types: Chiari malformations come in three types (i, ii, and iii). Type I is, by far, the most common. There is a hole at the bottom of the skull where the spinal cord exits (the foramen magnum). If the back part of the skull is not large enough to house the cerebellum, the lower portion of the cerebellum can push through the foramen magnum and into the spinal canal - this is a chiari I malformation. ...Read more
Depends on symptoms:
Most patients with chiari I malformation have no symptoms, and don't need surgery. Findings that would require surgery include cranial nerve dysfunction, swallowing problems, arm or leg weakness, numbness, syrinx formation in the spinal cord. In this group of patients, surgery can help.
You should be thoroughly evaluated by a neurosurgeon to see if you require treatment or just observation. ...Read more
It can be: Hydromyelia and/or syringomyelia can develop for many reasons, including trauma, tumors, developmental abnormalities and sometimes with no clear cause. Chiari malformations are commonly associated with these conditions, but not exclusively. ...Read more
Since you have: Multiple questions about Chiari malformation, I assume Type 1, Here are 2 very useful links: www. Conquerchiari. Org/education/chiari-faqs. Html & www. Ninds. Nih. Gov/disorders/chiari/detail_chiari. Htm. Both sites give information & resources. Kids in my practice who have had decompression by microsurgical endoscopic surgery performed by skilled pediatric neurosurgeons have been home 2 days post-op. ...Read more
Complex: The imaging part is straightforward - you see herniation of the cerebellar tonsils on an MRI scan. The symptoms can be more difficult to pinpoint - these include headaches, fatigue, muscle weakness in the head and face, difficulty swallowing, dizziness, nausea, impaired coordination, and, in severe cases, paralysis. ...Read more
Maybe: See a neurologist or neurosurgeon.Get a more detailed answer ›
Chiari Malformation: It is a congenital disorder when the cerebellum, the part of the brain which controls balance, is below the foramen magnum (which is a opening at the base of the skull). Symptoms of a chiari malformation could be balance issues, neck pain, numbness to arms, and headaches. If symptoms are severe, a patient can seek consultation with a neurosurgeon to discuss if they could benefit from surgery ...Read more
Many do not: The finding of a type one chiari malformation is often an incidental finding on MRI of no clinical significance. These do not need surgery. Surgery for the malformation is quite complex and must be considered very carefully. There are significant risks to the surgery that must outweigh the risks of not doing surgery. Second, third, and fourth opinions may be appropriate. ...Read more
Extent of herniation: It is the downward displacement of the cerebellum, specifically a region called the "tonsils", through the foramen magnum. There are actually 4 types. Type one is only tonsillar herniation, that is mild; type ii shows more herniation, to include a middle portion of the cerebellum. This type is often associated with an myelomeningocele (herniation of lining of the brain). ...Read more
Brain issues: If you have symptoms or reason to believe you have any brain malformation please see your doctor. He/she will assess the situation and order the proper tests which is the way to rule out your concern or offer proper treatment. Peace and good health. ...Read more
It is: Chiari described different types of developmental defects of the cerebellum. Type 2 is associated with spina bifida, type 3 and type 4 are severe defects. You are probably talking about type 2 associated with spina bifida. It can cause breathing and swallowing problems. Treatment with surgery is controversial. ...Read more
Probably won't: A type 1 chiari malformation is usually asymptomatic, but on occasion may cause symptoms such as headaches or sensory changes in the face or arms. Chiari's are often discovered incidentally when someone is being worked up for headache or other neurologic symptoms that are unrelated. Unless you have specific related symptoms, then it should cause you no complications later in life. ...Read more
Type I is associated with a portion of the cerebellum called the tonsils, downwardly displaced through the foramen magnum at the base of the skull. Most are asymptomatic.
Type ii is usually associated with a failure of the spinal cord to close and is often associated with hydrocephalus. ...Read more
Depends on activity: If you are straining and lifting heavy amounts, you could have more headaches and numbness/tingling. Some people can have dizziness and passing out with exertion. Days in which there is no exertion may be associated with less headache and other symptoms. Some patients have constant symptoms because the cerebellar position does not change for them with position or activity. ...Read more
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. ...Read more
If I have borderline chiari 1 since my symptoms are still very severe can I still be a canidate for surgery?
Need a consult: Best to discuss with a board certified neuro surgeon. Hope that helps. ...Read more
My son is autistic and now there saying he has a chiari 1malformation is this serious or dangerous what are they gonna do about it?
Chiari type 1: A chiari type malformation means the tonsils portion of the cerebellum extends through the foramen magnum of the skull if there are no symptoms of headaches or increased pressure on the brain, there is not likely to be any intervention. This situation should be followed by a neurologist, who will help you monitor for signs requiring intervention. ...Read more
I'm getting chiari surgery done. Want to know what is the normal time you should take off work? And other activities, also lifting.
Chiari: 6 wks would be a reasonable time frame +/- 2wks depending on how fast you recover. ...Read more
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