Doctor insights on:
Chiari Malformation Symptoms After Surgery
Yes.: Yes, the crowding and pointing of the cerebellar tonsils at the base of the skull can resolve and some people can fully recover and stay recovered for years. Outcome tudies on a large number of people followed for many years are lacking. Our published outcome study in 112 of our patients showed that 84% had a significant improvement in their quality of life when assessed one year after surgery. ...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
Chairi malformation: Yes. Scar tissue can compress the cerebellar tonsils and lead to recurrent symptoms. However this is uncommon and more likely is that you have arthritis in your neck that is mimicking the symptoms of a Chiari malformation. A complete neurological examination and an MRI of the cervical spine will provide some answers for you. ...Read more
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
What should I expect going into a posterior fossa decompression surgery for chiari 1 malformation? Recovery time? Restrictions?
Chiari: Most surgery for chiari malformation is a decompressive operation. Surgery takes 3-4 hours. Hospital stay is usually 1 day in ICU and 1-2 days general care. I would recommend lifting less than 10 pounds for the first 2 weeks and less than 25 pounds after that. You will be asked to not bend your head lower than your waist. Recovery occurs in 6-8 weeks. ...Read moreSee 1 more doctor answer
2 yrs ago, cerebellar tonsillar Herniation after tumor resection: can this cause Chiari Malformation? A lot of recurring symptoms like pre-resection.
Just diagnosed with chiari malformation 1 after mri. Is surgery always necessary? I have no symptoms other than posttussive headaches.
Chiari 1, neurosurgeon=all symptoms chiari but dizziness, surg. if cine mri=blocked CSF. Ref to neuro-oto says all symptoms Chiari & do surg. Bc of sx., now what?
Chiari malformation: Chiari malformations are structural defects in the cerebellum ( controls balance) in type I which can be acquired, the cerebellum is compressed through FM., as a result, the flow of cerebrospinal fluid is blocked. Your dizziness is due to imbalance from cerebellar compression which will improve with a shunt surgery. There is no role for Oto, this is not likely primary vestibular. ...Read more
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
Complex: The imaging part is straightforward - you see herniation of the cerebellar tonsils on an MRI scan. The symptoms can be more difficult to pinpoint - these include headaches, fatigue, muscle weakness in the head and face, difficulty swallowing, dizziness, nausea, impaired coordination, and, in severe cases, paralysis. ...Read more
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
Possibly: Surgery for Thoracic Outlet Syndrome should be a last resort, and should only be considered for severe compression of the Subclavian artery or vein or when there is loss of muscle(atrophy) and weakness in the hand. Avoid bench pressing weights or pressing weights upward above your shoulders. For detailed information on exercise rehabilitation SEE:http://bit.ly/1rWEGJq also http://bit.ly/1BRx6lO ...Read moreSee 2 more doctor answers
Chiary II.: Chiari ii malformation (cm-ii), also known as arnold-chiari malformation, is a fetal condition characterized by downward displacement of the cerebellar vermis and tonsils, a brainstem malformation with beaked midbrain, and a spinal myelomeningocele (open spina bifida). Symptoms: lower extremity paresis, hydrocephalus, bowel/bladder control impairement, inability to indipendently ambulate. ...Read more
Severe hydrocephalus: or Cerebrospinal Fluid build-up in the brain can occur with any Type of Chiari Malformation & can be fatal if untreated. I referred your question to neurosurgeons on HT, but they need to know the Type & the reason decompression surgery has been proposed. Ask your insurance for a 2nd opinion if you're uncomfortable, as this surgery is proposed because of concerns about your function & safety. ...Read more
Since you have : multiple questions about Chiari malformation, I assume Type 1, Here are 2 very useful links: www.conquerchiari.org/education/chiari-faqs.html & www.ninds.nih.gov/disorders/chiari/detail_chiari.htm. Both sites give information & resources. Kids in my practice who have had decompression by microsurgical endoscopic surgery performed by skilled pediatric neurosurgeons have been home 2 days post-op. ...Read more
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