Doctor insights on:
Chiari Malformation Decompression Surgery
I thought when you had surgery for chiari 1 malformation decompression surgery that the headaches would go away but they are worse than ever and pain meds don't work you have to go lie down. What's up with this?
Can decompression surgery for chiari malformation 1 relieve vision problems/issues (like blurry/double vision or seeing flashes) caused by chiari?
Depends: The goal of Chiara surgery is to restore the normal pattern of CSF flow & thereby prevent further deterioration of the visual (& balance) symptoms of the ACM malformation. Whether this helps existing symptoms depends on how long those symptoms have been present, the type of surgery contemplated, it's success rate, age, & underlying factors. It's a question to ask the neurologist who knows you best ...Read more
I have chiari malformation. Decompressed 2012, CSF leak surgery 2012, vp shunt 2013. Carpal tunnel result of chiari? Only small relief after surgeries
No relationship: Compression of the median nerve at the carpal tunnel has no relationship to the chiari malformation. Patients with chiari i malformation may have syringomyelia, which can cause neck and arm symptoms. However, carpal tunnel syndrome is very specific to the nerve at the wrist. Your neurosurgeon can help distinguish between the two conditions, and explain why you still have symptoms. ...Read more
I had surgery for chiari malformation 1 decompression 1 yr ago. The headaches and other symptions haven't gone away. Will they? Why not? Does chiari ?
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
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
It is: Chiari described different types of developmental defects of the cerebellum. Type 2 is associated with spina bifida, type 3 and type 4 are severe defects. You are probably talking about type 2 associated with spina bifida. It can cause breathing and swallowing problems. Treatment with surgery is controversial. ...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
Safe if experienced: As a general rule, such surgeries should be done in major medical centers or in designated childrens hospitals by neurosurgeons who specialize in pediatric neurosurgery. Under those circumstances, the surgeries are as safe as they can be made and almost always better than not repairing the malformation. ...Read moreSee 2 more doctor answers
I got results on my chiari malformation said 6mm below something and the nuero surgen doesn't want to do surgery why?
Surgery not needed: A chiari 1 malformation is not a dangerous condition, but can cause headaches, numbness, dizziness or unsteadiness. In yours, the cerebellar tonsils lie 6 mm below the foramen magnum (the hole at the base of the skull). This is fairly small and not dangerous so the only reason to have surgery is to relieve symptoms. Often the symptoms and the chiari are unrelated so surgery doesn't help. ...Read moreSee 3 more doctor answers
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
I have arnold chiari malformation type 1. I recently had corrective surgery. What are the possible side effects from that?
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