Doctor insights on:
Chiari Malformation After Surgery
Just diagnosed with chiari malformation 1 after mri. Is surgery always necessary? I have no symptoms other than posttussive headaches.
Moderately risky: Chiari decompression surgery is considered moderate risk surgery. In other words, its not like having your appendix or hernia repaired but its also not like having a complex brain tumor or aneurysm worked on either. The major risks of this surgery are severe (sometime chronic) neck pain, bleeding, infection, and a small risk of spinal fluid leak. The more scary risks (stroke) are very rare. ...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
Yes: Many people go through life completely unaware they have chiari malformation until they get their head and neck imaged for an unrelated injury. Good to know, but doesn't necessarily require surgery. If you need a spinal tap, then things get a bit murky so put it on your med history anyway. ...Read moreSee 2 more doctor answers
Chiari malformation: It depends on what type of surgery you are going to have (what your true diagnosis is... be careful!) and what job you want at the airforce. Speak with your neurosurgeon and ask details, then call the recruiting folks for the air force and ask them what they think... do not rush into it at age 48... rare to have to have Chiari surgery done at that point.... good luck! ...Read more
I have chiari malformation 1 and I have all the classic symptoms. Yet it is only 3mm. Should I get surgery?
Neurological : symptoms guide the decision that surgery is needed, not the length of the lesion. Pressure from the cerebellum on the spinal cord or lower brainstem can cause neurological signs & symptoms. See www.mayoclinic.org/diseases-conditions/chiari-malformation/basics/definition/con-20031115. Seek a neurosurgical opinion if you are hesitant. ...Read more
Absolutely: A chiari 1 malformation is not a dangerous condition. It is usually found incidentally during the workup for a headache. The only reason to have surgery is to relieve symptoms, and often the symptoms and the chiari are unrelated so surgery doesn't help. If you do not have symptoms, then you absolutely should not have surgery. ...Read moreSee 1 more doctor answer
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