Doctor insights on:
Can Chiari Malformations Come Back After Surgery
Symptoms not Chiari: The chiari type 1 malformation involves a descent of a structure called the cerebellar tonsil below a bony edge called the foramen magnum, large hole. These tonsils generally are not removed with chiari surgery but more space is made around them with removal of the overlying bone. There are different ways to patch this area to minimize scarring. New headaches after surgery need evaluation. ...Read moreSee 1 more doctor answer
Maybe: Addressing chiari 1 malformations, non-surgically treated cases can spontaneously remit and later return dependent upon factors relating to the degree of cerebellar tonsillar impaction into the upper cervical spinal canal. Operated cases may recur because brain prolapses through the surgical defect caused by the decompression the once again compress the upper cervical cord. ...Read more
I have chiari malformation and we found this on an mri. Another mri for the spine and no fluid was blocked. My symptom get worse. Do I need surgery?
Neurosurgery always : sounds scary. In truth, current minimally invasive techniques have remarkably low risk in the hands of pediatric and adult neurosurgeons. And that's who you need to ask, because the decision is not based on the size, or length, of the Chiari malformation, it's based on symptoms that interfere with a person's daily functioning. Review your MRI's with the neurosurgeon at your first consult. ...Read more
I had chiari malformation surgery back in Oct, 2014 can this be the cause of me having seizures now? I never had them before the surgery.
After surgical for Chiari type 1 malformation 14 yrs ago, a 37 yr-old man has sudden recurrence of symptoms. Can a second surgery be done.....?
Neurosurgeon: That type of surgery that was performed, will dictate the present clinical condition..You should consult either your previous Neurosurgeon , if he is still in practice, or his successor that has access to your records...That will be very valuable clinical data ...Read moreSee 9 more doctor answers
If done well, no: If you had surgery to improve your nasal breathing, then presumably you had your septum straightened and also your turbinates reduced in size in some way. Straightening the septum should be permanent. Reducing the turbinates might not be. If you start to develop congestion after the surgery it's possible the turbinates regrew. If you're told the septum is off it prob wasn't fixed fully at first. ...Read moreSee 4 more doctor answers
Yes, but rarely: Most pituitary adenomas are slow growing and can be easily removed and they do not recur. But if it was incompletely removed, there is a small risk that it can grow back again but it may take many years. ...Read more
Had hydrocele surgery about 6 months ago. I think it came back.. What causes it to come back after surgery? Should I go to different urologist?
Varicocele: After spermatic vein ligation (varicocele surgery) it is common for the veins to remain enlarged for weeks until collateral venous drainage routes enlarge. If the scrotal approach (instead of inguinal) it is also possible that only some branches of the spermatic vein were ligated, leaving some still dilated. ...Read more
Recurrent risks?: Risk factors for recurrence in adults include: Straining during bowel movements because of constipation. Tissue damage caused by surgery or childbirth. Weakness of pelvic floor muscles that occurs naturally with age. Ref: www.webmd.com/digestive-disorders/tc/rectal-prolapse-topic-overview ...Read more
Depends: Depends on patient factors such as connective tissue disorders, steroid use and obesity among other things. Also depends on the amount of strenuous activity and the location and size of the hernia. The technique of repair is also critical, along with the experience if the surgeon. In general, you should be able to expect a 90% or greater chance of success. Hope this helps! ...Read more
Yes but unlikely: The operation for dequervain's involves decompressing the first extensor compartment of the wrist. Sometimes, the two tendons in this compartment are in separate sub-compartments; if both are not decompressed, symptoms may continue. Also, if the sheath over the tendons scars back and becomes tight again, symptoms may recur, but this is rare. ...Read more
Yes: Unfortunately carpal tunnel syndrome (cts) may recur in a small population of patients. This is best assessed by your md using a physical exam and a emg/ncv (needle study of your nerve/muscles) exam. The good news is that most patients do well with open carpal tunnel release surgery in the case of recurrence. ...Read moreSee 1 more doctor answer
Chiari surgery: Surgery for a chari malformation is rather straight forward - a "botched" surgery is rare, in some rare cases further surgery might be indicated if the symptoms are not resolved - this assumes there were no complications during the procedure. ...Read more
Many things: Surgery to decompress the herniations can either focus on removing some of the bones to allow more room, or detangling the spinal cord as it leaves the brain (rarely done). This is serious surgery that can result in infections, paralysis, problems breathing, and worse. However neurosurgeons today are incredibly trained and can do amazing things! ...Read moreSee 1 more doctor answer
Possibly: Typically, asymptomatic chiari type-1 malformations are not recommended to undergo a sub-occipital decompression unless there are other associated findings. In children, if there is associated hydrocephalus, or a cervical region syringomyelia, a sub-occipital decompression may be indicated. This is to prevent future neurological decline. ...Read more
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