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Doctor insights on: Chiari Malformation Symptoms After Surgery

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I have chiari malformation 1 and I have all the classic symptoms. Yet it is only 3mm. Should I get surgery?

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

Dr. James Goodrich
174 doctors shared insights

Chiari Malformation (Definition)

Chiari malformation is a congenital condition where the connection between the brain and the ...Read more


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Should a child have surgery for chiari malformation if he has no symptoms?

Should a child have surgery for chiari malformation if he has no symptoms?

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

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Is it okay not to have surgery for a chiari malformation if there are no symptoms?

Is it okay not to have surgery for a chiari malformation if there are no symptoms?

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 more

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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. ...Read more

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I have chiari malformation and we found this on an mri. Another mri for the spine and no fluid was blocked. My symptom get worse. Do I need surgery?

I have chiari malformation and we found this on an mri. Another mri for the spine and no fluid was blocked. My symptom get worse. Do I need surgery?

Neurosurgery always : sounds scary. In truth, current minimally invasive techniques have remarkably low risk in the hands of pediatric and adult neurosurgeons. And that's who you need to ask, because the decision is not based on the size, or length, of the Chiari malformation, it's based on symptoms that interfere with a person's daily functioning. Review your MRI's with the neurosurgeon at your first consult. ...Read more

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If I have chiari malformation 1 and my spinal Mri came up negative do I still need surgery? I have symptoms just nothing wrong with my spinal fluid

If I have chiari malformation 1 and my spinal Mri came up negative do I still need surgery? I have symptoms just nothing wrong with my spinal fluid

Neurological : symptoms guide the decision that surgery is needed. Pressure from the cerebellum on the spinal cord or lower brainstem can cause neurological signs & symptoms. Read all the pages on www.mayoclinic.org/diseases-conditions/chiari-malformation/basics/definition/con-20031115. Seek a 2nd pediatric neurosurgical opinion if you are hesitant. ...Read more

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How safe is the surgery to fix a chiari malformation?

How safe is the surgery to fix a chiari malformation?

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 more

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Arnold chiari malformation, what constitutes a botched surgery?

Arnold chiari malformation, what constitutes a botched surgery?

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

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How long will it take to recover from surgery for a chiari malformation?

A few weeks: Most are out of the hospital in 1-2 days. You then have to take it easy ( no lifting >10 lbs) for about a month. Expect a stiff neck for a few weeks at least. ...Read more

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What will happen to me if I don't have surgery for a chiari malformation?

Hydrocephalus: Fluid will build up in the ventricular system of the brain with a resultant increase in pressure inside the brain/skull. ...Read more

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