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
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 2 more doctor answers
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
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
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