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Doctor insights on: Chiari Malformation

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Dr. James Goodrich
159 doctors shared insights

Chiari Malformation (Overview)

Chiari malformation is a congenital condition where the connection between the brain and the spinal cord is abnormal.


Dr. Nalinaksha Joshi
Board Certified, Neurology
17 years in practice
491K people helped
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Dr. Bennett Machanic
Board Certified
46 years in practice
47M people helped
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Dr. James Goodrich
159 doctors shared insights

Chiari Malformation (Overview)

Chiari malformation is a congenital condition where the connection between the brain and the spinal cord is abnormal.


Dr. Larry Armstrong
Board Certified, Neurosurgery
21 years in practice
1M people helped
2

2
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. ...Read more

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Dr. Bennett Machanic
Board Certified
46 years in practice
47M people helped
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Dr. Edward Neilsen
Board Certified, Family Medicine
13 years in practice
2M people helped
3

3
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. ...Read more

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Dr. Edison McDaniels
Board Certified, Neurosurgery
122K people helped
4

4
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/ ...Read more

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Dr. Bennett Machanic
Board Certified
46 years in practice
47M people helped
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Dr. Larry Armstrong
Board Certified, Neurosurgery
21 years in practice
1M people helped
5

5
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. ...Read more

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Dr. Golder Wilson
Board Certified, Clinical Genetics
95K people helped
6

6
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. ...Read more

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Dr. Kevin Teal
Board Certified, Neurosurgery
24 years in practice
185K people helped
7

7
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. ...Read more

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Dr. William Goldie
Board Certified, Pediatric Neurology
42 years in practice
4M people helped
8

8
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. ...Read more

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Dr. Addagada Rao
Board Certified, General Surgery
50 years in practice
25M people helped
9

9
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, . ...Read more

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Dr. Larry Armstrong
Board Certified, Neurosurgery
21 years in practice
1M people helped
10

10
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. ...Read more

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Dr. Bennett Machanic
Board Certified, Neurology
46 years in practice
47M people helped
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