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Doctor insights on: Chiari Malformation Syrinx

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What causes arnold chiari malformation?

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

Dr. James Goodrich
178 doctors shared insights

Chiari Malformation (Definition)

A congenital condition where the connection between the brain and the ...Read more


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What's the arnold chiari malformation?

What's the arnold chiari malformation?

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 on neuroimaging, and a spinal myelomeningocele (open spina bifida). ...Read more

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Anyone operated on arnold chiari malformation?

Anyone operated on arnold chiari malformation?

Many times: Chiari type two is arnold chiari. It is associated with spina bifida, hydrocephalus, syrinx, and apnea. Aggressive surgical management is often necessary at birth and during early infancy. The anomaly can not be cured. Release of pressure is the only treatment. ...Read more

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What is chiari malformation?

What is chiari malformation?

Can be symptomatic: Chiari malformation type i is neurological disorder where cerebellum (or more specifically the cerebellar tonsils), descends out of the skull into the spinal area, resulting in compression of parts of brain and spinal cord, and disrupts normal flow of cerebrospinal fluid.Type ii involves extension of both cerebellar and brain stem tissue into the foramen magnum. Associated with myelomeningocele. ...Read more

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What is chiari malformation?

What is chiari malformation?

Low cerebellum.: The tip or bottom of the cerebellum, the posterior brain controlling coordination, may extend be too low, and lie behind the spper spinal cord where it can get pinched. Chiari is graded according to severity. Wickipedia has a good article on chiari malformation listing the grading. ...Read more

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What is an arnold chiari malformation?

What is an arnold chiari malformation?

Result of ONTD.: 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 on neuroimaging, and a spinal myelomeningocele (open spina bifida). The spinal defect is the etiology of the chiari ii malformation of the cerebellum and brainstem. ...Read more

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Is arnold chiari malformation type one a neural tube defect?

No: The more accepted term is chiari malformation as arnold-chiari is an older term. This type of malformation is not a neural tube defect, but rather an abnormal migration of the cerebellar tonsils below the level of the foramen magnum (chiari type 1). This defect is attributed to a congenitally small posterior fossa, thus allowing the cerebellar tonsils to migrate downward. ...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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What is arnold chiari syndrome?

What is arnold chiari syndrome?

Malformation: Chiari described different defects of the cerebellum. Arnold added details of a very specific malformation (chiari type 2). Low lying tonsils with elongation of medulla, kinking of fourth ventricle with obstruction, and associated fusing of thalamus, hydrocephalus, peaking of quadrigeminal plate, etc. Associated with spinal bifida. Sorry you asked? ...Read more

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What is arnold chiari malformation type one?

What is arnold chiari malformation type one?

Mild malformation: AC type 1 involves low lying cerebellar tonsils. at the level of the foramen magnum. Usually asymptomatic and picked up as an incidental finding on work up for another condition. ...Read more

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Is chiara malformation hereditary?

Is chiara malformation hereditary?

Chiari malformation: Over the years there has been a good deal of discussion about heredity. There have been reported families with more than one family member having a chiari - in my own practice the pressence of multiple family members with chiari has been quite rare. ...Read more

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Can chiari malformation cause menieres diseaease?

No relationship.: No, arnold chiari malformation cannot cause meniere's disease. Meniere's disease is an inner ear disorder, whereas a chiari malformation is a brain condition. A chiari malformation occurs when the bottom of the brain (the brainstem) extends below the opening of the skull. ...Read more

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What's the difference between chiari malformation and chiari syndrome?

Different: Arnold chiari malformation describes low lying cerebellar tonsils, and sometimes other posterior fossa abnormalities. Chiari syndrome can refer to the abnormality described above, or to budd chiari syndrome. Budd chiari syndrome has to do with clotting in the venous system of the liver and has nothing to do with arnold chiari malformation. ...Read more

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Please explain arnold chiari syndrome.?

Please explain arnold chiari syndrome.?

Now called Chiari ll: A retrospective look has taken arnold's name away. There are two main types of chiari malformations that are not really related to each other. Chiari 1 affects adults and is the result of a small brain compartment that forces the cerebellar tonsils through the foramen magnum. Chiari 11 affects children from birth and is associated with a myelomeningocele at birth. The brainstem itself is altered. ...Read more

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Hello docs, is chiari malformation genetic?

Hello docs, is chiari malformation genetic?

Not know for sure: Information on genetics being investigated.Duke University Medical Center is investigating the hereditary basis of Chiari type I malformations with or without syringomyelia The research is aimed at learning if caused by inheritance factors. ...Read more

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Would a cervical laminectomy fix my chiari malformation?

Would a cervical laminectomy fix my chiari malformation?

No: Chiari is congenital and cannot be "fixed" in the true sense of the term. An upper cervical laminectomy and suboccipital craniectomy may relieve some of the symptoms. ...Read more

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What is a chiari malformation?

What is a chiari malformation?

Basic answer: The cerebellum is the rearmost part of the brain structures as it transitions into the spinal cord holding all the nerve tracts. This part of the brain is supposed to stop at the base of the skull, but in some people part of the cerebellum is positioned below the skull, extending between the cord & the upper vertebrae. The Chiari malformation is a broad label covering this defect. ...Read more

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Chiari malformation type 1. Am i disabled?

Chiari malformation: Chiari malformation, unless complex rarely do not disable a person. They are surgically treatment depending on the symptoms and clinical findings. This is not an uncommon disorder treated by neurosurgeons and the results are very often quite good. ...Read more

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What is chiari malformation type 1?

A brain anamoly: A chiari 1 is a malformation where a small part of the brain (the cerebellar tonsils) descends into the spinal canal and compresses the spinal cord/brain stem. The early symptom are typically headaches. As time proceeds and in more severe descended chiari's, the symptoms can include numbness, weakness, unsteadiness, visual issues, nausea, etc. See physician for an exam and discussion of surgery. ...Read more

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I have arnold chiari malformation type 2 with syrinx. I recently had re-exploration durap. What are the possible side effects from that?

Recurrence: Hopefully everything works out for you. But if there is a problem with sealing of the patch leaks and swelling can develop.This fluid can cause compression of the brain stem.You should talk to your surgeon. ...Read more

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Is it possible for a traumatic syrinx to grow larger? I don't have Chiari malformation.

Yes: Syrinx can enlarge / elongate. Sometimes tiny shunts are placed if the Neurosurgeon believes this will prevent elongation (if there is production of fluid under pressure within the syrinx ). We monitor the stability of the syrinx with serial neurological exams over time. The majority of the time the situation remains stable and new symptoms arise for other reasons. (Neuropathy, Carpal Tunnel etc) ...Read more

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Can chiari malformation kill you? I have eds hypermobility, pots, syrinx. Suspecting chiari malformation and i just found out i'm pregnant i'm scared

Can chiari malformation kill you? I have eds hypermobility, pots,  syrinx. Suspecting chiari malformation and i just found out i'm pregnant i'm scared

Please dont be scare: Chiari i malformation is not life threatening and can be conservatively managed in most cases. Congratulations on your pregnancy- please enjoy it rather than worry as your mental state has an impact on the growing fetus. Good luck and well wishes! ...Read more

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What is a chiari malformation?

Basic answer: The cerebellum is the rearmost part of the brain structures as it transitions into the spinal cord holding all the nerve tracts. This part of the brain is supposed to stop at the base of the skull, but in some people part of the cerebellum is positioned below the skull, extending between the cord & the upper vertebrae. The Chiari malformation is a broad label covering this defect. ...Read more

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Would a chiari malformation just disappear?

No: Arnold chiari malformation is the result of a malformation of the cerebellum and its relationship to the foramen magnum. Chiari type 1 may remain asymptomatic for a person's whole life. ...Read more

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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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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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I want to know what's the chiari malformation?

I want to know what's the chiari malformation?

Chiari malformation: The most common chiari malformation is the type 1. There is a situation where two "tongues" of tissues called the cerebellar tonsils leave their normal anatomical position and herniated down through a hole at the base of the skull called the foramen magnum and can lead to compression of the brain stem. ...Read more

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Could I have chiari malformation. What's the symptoms?

Headache: The most common symptoms of chairi i malformation is headache. There may be other associated symptoms such as imbalance or loss of sensation in the upper extremities. ...Read more

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How is the chiari malformation diagnosed and evaluated?

How is the chiari malformation diagnosed and evaluated?

Clinical exam, MRI: A thorough evaluation and clinical exam can assess for symptoms of chiari. If there is suspicion, an MRI of the cranio-cervical junction will confirm the diagnosis. Dynamic MRI with cine can show the lack of cerebrospinal fluid pulsations. At times, chiari is being identified on MRI in a patient with no symptoms. A neurosurgeon should be consulted regarding any need of treatment. ...Read more

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If I have a chiari malformation, am I eligible for disability?

See an expert: A surgical resident i know had a chiari malformation - went to a specialist - had it repaired and now works 80 hours/week with no disability. Obviously, these malformations vary from person to person, but make sure that you are seen by an expert. He was misdiagnosed and almost gave up his dream of a surgical career. ...Read more

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Could a chiari malformation come back?

Maybe: Addressing chiari 1 malformations, non-surgically treated cases can spontaneously remit and later return dependent upon factors relating to the degree of cerebellar tonsillar impaction into the upper cervical spinal canal. Operated cases may recur because brain prolapses through the surgical defect caused by the decompression the once again compress the upper cervical cord. ...Read more

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Can chiari malformation cause menieres diseaease?

No relationship.: No, arnold chiari malformation cannot cause meniere's disease. Meniere's disease is an inner ear disorder, whereas a chiari malformation is a brain condition. A chiari malformation occurs when the bottom of the brain (the brainstem) extends below the opening of the skull. ...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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What is the cure for arnold chiari malformation type 1?

What is the cure for arnold chiari malformation type 1?

Sometimes surgery: Chiari malformation type i neurological disorder where cerebellum (or more specifically the cerebellar tonsils), descends out of the skull into the spinal area, resulting in compression of parts of brain and spinal cord, and disruptsl flow of cerebrospinal fluid sxs include .Dizziness, muscle weakness, numbness, vision problems, headaches, problems of balance/ coordination.If severe maybe surgery ...Read more

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What to do if I have chiari malformation. help with pain?

What to do if I have chiari malformation. help with pain?

Neuro dr 4 options: Some CMs are asymptomatic and do not interfere with a person’s activities of daily living. In other cases, medications may ease symptoms, such as pain. Surgery is the only treatment available to correct functional disturbances or halt the progression of damage to the central nervous system. Most individuals who have surgery see a reduction in their symptoms and/or prolonged periods of relief. ...Read more

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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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What can I expect after the operation for a chiari malformation?

Post op: Some neck pain and stiffness. About 2-3 day hospital stay. Possibly a drain at surgical site for couple days. Comfortable by about 2.5 weeks. Resolution of symptoms. ...Read more