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Doctor insights on: Does Chiari Malformation Get Worse

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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.

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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I've recently been diagnosised with chiari malformation and my symptoms are worse and getting new symptoms as well. So I be worried?

I've recently been diagnosised with chiari malformation and my symptoms are worse and getting new symptoms as well. So I be worried?

Vague question: Your question is too vague to offer specific advice. Chiari I is fairly common & often does not require surgery. However, you have hydrocephalus or a syrinx, some intervention may be necessary. Best advice: see a neurosurgeon to go over your MRI & provide a good physical exam. S/he will be in best position to offer specific advice/treatment. More info here: http://surgeonwriter. Com/hydrolog/

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Does the chiari malformation run in families? Will my children get it?

Does the chiari malformation run in families? Will my children get it?

Uncertain: There are different types of chiari. There have been rare reports of a tendency for this to run in families. It's not common. To prevent the severe forms of chiari malformation and other neural tube defects, it's important for women of child-bearing age to have adequate Folic Acid in their diets even before they conceive! Talk to your family doctor or ob-gyn about good "pre-conception" nutrition.

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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.

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Recently found through MRI that I have a chiari malformation just wondering if this condition always gets progressively worse or if I can live with it?

Not all progress: Not all chiari malformations cause progressive problems. Early signs are recurrent headaches. If this is an issue, contact a neurologist or neurosurgeon.

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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.

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How are mthfr mutations and chiari malformation related? Should I get tested if I have chiari? (and high B6 levels, for no good reason)

How are mthfr mutations and chiari malformation related? Should I get tested if I have chiari? (and high B6 levels, for no good reason)

Forgive my frankness: One lab is promoting testing for mthfr mutations despite the fact that they merely identify folks who may be at slightly extra risk for this-and-that and who need to be extra-sure they get enough nutrients. A majority of people carry at least one 'mutant mghfr' and this is generating all kinds of scares. No relatioship to your chiari.

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If I have an arnold chiari malformation, should I get genetic testing to check for other things?

If I have an arnold chiari malformation, should I get genetic testing to check for other things?

Perhaps: If you have other birth defects (chiari can be secondary to spina bifida or be a part of syndromes), then chromosome testing may be indicated. Many chiari malformations occur alone, in which case genetic testing is not necessary. As genome sequencing becomes more rapid and available, genes conferring susceptibility to chiari and other isolated birth defects may become available for testing.

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Went for MRI last year for tinnitus and found out I have arachnoid cyst and chiari malformation recently have worsening tinnitus blurry vision, why?

Went for MRI last year for tinnitus and found out I have arachnoid cyst and chiari malformation recently have worsening tinnitus blurry vision, why?

Blurred vision &,: Less commonly, tinnitus, can be symptoms of a Chiari Type I from the cerebellar tonsils' causing pressure on the brainstem &/or spinal cord or blocking flow of CSF. Arachnoid cysts may have no symptoms or may cause pressure on the parts of the brain they overlie, especially if there is an increase in size of the fluid-filled sac. Thorough medical & neurological re-evaluations are warranted.

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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.

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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.

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What is a chiari malformation?

What is a chiari malformation?

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.

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What is chiari malformation type 1?

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.

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What is a type 2 chiari malformation?

Brain abnormality.: A type 2 chiari malformation is a brain abnormality a baby is born with, where the lower part of the brain bulges down through the hole in the base of the skull. Babies with this malformation may show symptoms like poor feeding, difficulty breathing, and weakness. It is almost always associated with spina bifida as well.

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How do you treat chiari malformation?

Surgery or nothing: These are treated with surgery on the base of the skull and sometimes the dura covering the brain and/or the upper cervical vertebrae. Each surgery is tailored to the individual depending on their symptoms and severity of the chiari malformation. The alternative for many chiari malformations is no surgery and no treatment. Many people require no intervention at all.

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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).

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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.

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How is a chiari malformation diagnosed?

Check NIH: Check nih's "nationalinstitute of neurological disorders and stroke": http://www. Ninds. Nih. Gov/disorders/chiari/detail_chiari. Htm all the facts you need are there.

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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.