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Doctor insights on: Chiari Malformation

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Dr. James Goodrich
178 Doctors shared insights

Chiari Malformation (Overview)

A congenital condition where the connection between the brain and the spinal cord is abnormal.


Dr. James Goodrich
178 Doctors shared insights

Chiari Malformation (Overview)

A congenital condition where the connection between the brain and the spinal cord is abnormal.


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Are flashes, like light, a symptom of chiari malformation?

Are flashes, like light, a symptom of chiari malformation?

No: Those symptoms are not typical at all of a chiari malformation. These would be more indicative of something with the eye, seizures, or migraines to name a few.

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What are the symptoms of chiari malformation?

What are the symptoms of chiari malformation?

Sometimes nothing: Sometimes nothing, although seizures and headaches are possible. Depending on the severity weakness in the head and face, difficulty swallowing, dizziness, and nausea are also possible.

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I've recently been diagnosised with chiari malformation and my symptoms are worse and getting new symptoms as well. So I be worried?

I've recently been diagnosised with chiari malformation and my symptoms are worse and getting new symptoms as well. So I be worried?

Vague question: Your question is too vague to offer specific advice. Chiari I is fairly common & often does not require surgery. However, you have hydrocephalus or a syrinx, some intervention may be necessary. Best advice: see a neurosurgeon to go over your MRI & provide a good physical exam. S/he will be in best position to offer specific advice/treatment. More info here: http://surgeonwriter. Com/hydrolog/

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I saw a doctor who diagnosed chiari malformation. Now he wants to do treatment. I suspect he is churning. What is significance of the condition?

Churning?: Treatment of chiari malformations is surgical. These are usually surgical if the patient has specific headaches, difficulty swallowing, weakness, or hydrocephalus along with other symptoms. I'm not sure quite what you mean by churning but if you're uncomfortable with your neurosurgeon, please seek another opinion. Remember that we are here to help you and you should feel that from your surgeon.

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Can a chiari malformation type one be picked up in an amniocentesis test?

Can a chiari malformation type one be picked up in an amniocentesis test?

No: Chiari malformation is associated with many conditions, some of which have abnormal chromosomes that would show up by amniocentesis. The malformation itself can be seen by fetal ultrasound but not usually at 16-18 weeks when visualization of fetal anomalies might prompt recommendation for amniocentesis.

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What are the tests for chiari malformation?

Head/ Cervical MRI: Chiari malformation is best diagnosed with a head MRI without contrast to assess for the abnormal tonsil position and determine whether hydrocephalus, or water on the brain, is present also. A cervical MRI without contrast can assess for a problem called a syrinx, or a fluid cavity in the center of the spinal cord. A lumbar MRI without contrast can also exclude a tethered cord causing numb legs.

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What causes arnold chiari malformation?

No one knows: Chiari described malformations of the cerebellum. Arnold added the defects in the brain associated with spina bifida. This became known as chiari type 2 or arnold chiari. There is kinking of the medulla and fourth ventricle, obstruction of the outlet of the fourth ventricle, peaking of brainstem, fusion of thalamus, as well as hydrocephalus and incomplete closure of spinal cord.

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I don't have any symptoms, but an MRI shows a chiari malformation.  what does this mean?

I don't have any symptoms, but an MRI shows a chiari malformation.  what does this mean?

Then leave it alone: Various cerebellar malformations fron I to IV or v depending extent, to severe symptoms in type I just cerebellar tonsils herniate to spinal canal as shown (most likely you have this) most of the time asymptomatic other have symptoms need complex corrective procedures, .

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How do you treat chiari malformation?

Surgery or nothing: These are treated with surgery on the base of the skull and sometimes the dura covering the brain and/or the upper cervical vertebrae. Each surgery is tailored to the individual depending on their symptoms and severity of the chiari malformation. The alternative for many chiari malformations is no surgery and no treatment. Many people require no intervention at all.

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What is the treatment for chiari malformation type 1?

What is the treatment for chiari malformation type 1?

Sometimes surgery: Chiari malformation type I neurological disorder where cerebellum (or more specifically the cerebellar tonsils), descends out of the skull into the spinal area, resulting in compression of parts of brain and spinal cord, and disruptsl flow of cerebrospinal fluid sxs include. Dizziness, muscle weakness, numbness, vision problems, headaches, problems of balance/ coordination. If severe maybe surgery.

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Is there any treatments for chiari malformation type 1?

Is there any treatments for chiari malformation type 1?

Surgery: Surgery is definitely an option but I would see someone who specializes in this and would make sure that your symptoms are of the sort that would improve. I would also get an MRI flow study that proves that there is abnormal flow through the foramen magnum.

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What is the cure for arnold chiari malformation type 1?

What is the cure for arnold chiari malformation type 1?

Sometimes surgery: Chiari malformation type I neurological disorder where cerebellum (or more specifically the cerebellar tonsils), descends out of the skull into the spinal area, resulting in compression of parts of brain and spinal cord, and disruptsl flow of cerebrospinal fluid sxs include. Dizziness, muscle weakness, numbness, vision problems, headaches, problems of balance/ coordination. If severe maybe surgery

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Will the surgery to correct a chiari malformation get rid of the symptoms forever?

Not necessarily: Depending on the symptoms and type of surgery, this can be very successful. No surgery is guaranteed to reesolve symptoms permanently.

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Hello docs, is chiari malformation genetic?

Hello docs, is chiari malformation genetic?

Not know for sure: Information on genetics being investigated. Duke University Medical Center is investigating the hereditary basis of Chiari type I malformations with or without syringomyelia The research is aimed at learning if caused by inheritance factors.

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What are the risks of surgery to treat chiari malformation?

What are the risks of surgery to treat chiari malformation?

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!

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Are there things in my control that make chiari malformation more likely?

Are there things in my control that make chiari malformation more likely?

No: A chiari malformation is a congenital malformation where part the cerebellum in the back of the brain lies low and slips through the large opening at the base of the skull. Most patients are born with them, and type 1 is usually asymptomatic. Types 2 and 3 are more severe and often require surgery. An acquired chiari can occur following a lumbar shunt procedure, but this is quite rare.

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What is chiari malformation?

What is chiari malformation?

Low cerebellum.: The tip or bottom of the cerebellum, the posterior brain controlling coordination, may extend be too low, and lie behind the spper spinal cord where it can get pinched. Chiari is graded according to severity. Wickipedia has a good article on chiari malformation listing the grading.

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What is chiari malformation?

What is chiari malformation?

Can be symptomatic: Chiari malformation type I is neurological disorder where cerebellum (or more specifically the cerebellar tonsils), descends out of the skull into the spinal area, resulting in compression of parts of brain and spinal cord, and disrupts normal flow of cerebrospinal fluid. Type ii involves extension of both cerebellar and brain stem tissue into the foramen magnum. Associated with myelomeningocele.