Doctor insights on:
Medicine For Chiari Syndrome
It is a congenital disorder when the cerebellum, the part of the brain which controls balance, is below the foramen magnum (which is a opening at the base of the skull). Symptoms of a chiari malformation could be balance issues, neck pain, numbness to arms, and headaches. If symptoms are severe, a patient can seek consultation with a neurosurgeon to discuss if they ...Read more
Three types: Chiari malformations come in three types (i, ii, and iii). Type I is, by far, the most common. There is a hole at the bottom of the skull where the spinal cord exits (the foramen magnum). If the back part of the skull is not large enough to house the cerebellum, the lower portion of the cerebellum can push through the foramen magnum and into the spinal canal - this is a chiari I malformation. ...Read more
Chiari Malformation: It is a congenital disorder when the cerebellum, the part of the brain which controls balance, is below the foramen magnum (which is a opening at the base of the skull). Symptoms of a chiari malformation could be balance issues, neck pain, numbness to arms, and headaches. If symptoms are severe, a patient can seek consultation with a neurosurgeon to discuss if they could benefit from surgery ...Read more
Probably won't: A type 1 chiari malformation is usually asymptomatic, but on occasion may cause symptoms such as headaches or sensory changes in the face or arms. Chiari's are often discovered incidentally when someone is being worked up for headache or other neurologic symptoms that are unrelated. Unless you have specific related symptoms, then it should cause you no complications later in life. ...Read more
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
Meds then surgery: Patients with budd chiari can try diuretics, salt restriction, and even anticoagulation but usually they end up needing a way to bypass for the occluded hepatic veins. The first option is usually a transjugular intrahepatic portosystemic shunt. ...Read more
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
No need to treat: A chiari malformation type 1 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 the surgery doesn't help. If your symptoms are manageable, then I would avoid surgery. ...Read more
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
Should I be concerned if my mum has arnold chiari syndrome I trying 2 find out what the average life expectancy is for people with this?
Check out this link.: This syndrome can be a component of various conditions listed on this link, thus u don't treat the syndrome but the underlying disease. If u don't treat the main illness, life span will be shorter. God bless u! http://www. Patient. Co.Uk/doctor/budd-chiari-syndrome. Htm. ...Read more
CHIARI-1: When talking about chiari syndrome, usually it means type one which is the commonest type and usually diagnsed incidentally when brain MRI is done to work up for headache.It is an elongation of cerebellar tonsil which is the central part of cerebellum, if it measures less than 4-6 mm below the foramen magna, it stays assymptomatic, or it can cause headache, dizziness, sleep apnea and unsteadiness. ...Read more
If a person has budd chiari syndrome and now they need to stop warfarin is it typical that the veins in the liver would get clotted again?
Discuss with your Dr: It is never advised to warfarin without a thorough discussion with your doctor about the risks & benefits. In budd chiari there is a risk of new clots in the veins of the liver. ...Read more
Can chiari malformation cause carpal and cupital tunnel syndrome symptoms in addition to migraines? Is topamax (topiramate) useful for treatment of symptoms?
No and yes: Carpal tunnel involves median nerve pinching over volar wrist, cubital tunnel, ulnar nerve at elbow, and both are peripheral compressive neuropathies. Chiari has likely been present for years and is coincidental, and unlikely to cause a migraine issue, but may affect base of brain and upper cord. Chiari not usually a cause of migraines, but topamax (topiramate) may prevent migraines. ...Read more
Depends on Symptoms: There's no such thing as a CHIARI HEADACHE to the extent that an actual unique classifiable entity exists with a specific drug or intervention other than surgery in the more severe cases. What you need to do is give more symptoms of your headaches & whether the diagnosis of Chiari is absolute and if it's definitely the cause. Got MRI images? Look me up: www. Healthtap. Com/dr-saghafi ...Read more
I have chiari and have had a chiari headache for 4 days now. It will not go away with medicine or rest. Contemplating to have the chiari surgery?
That is best: Dealt with by the neurosurgeon treating you. All the best! ...Read more
I have a dizziness, tinitus, and nausea from an arachnoid cyst and a chiari 1 malformation. Is there medicine that can help this?
NO: Chiari 1 is an incidental finding of low lying cerebellar tonsils. This finding is of minimal clinical significance unless a degree of pressure causes some specific symptoms. In occasional cases decompressive surgery can relieve some of these symptoms. In some cases the surgery just causes more discomfort. The findings of the chiari 1 do not change with surgery. ...Read more
Depends on symptoms:
Most patients with chiari I malformation have no symptoms, and don't need surgery. Findings that would require surgery include cranial nerve dysfunction, swallowing problems, arm or leg weakness, numbness, syrinx formation in the spinal cord. In this group of patients, surgery can help.
You should be thoroughly evaluated by a neurosurgeon to see if you require treatment or just observation. ...Read more
It can be: Hydromyelia and/or syringomyelia can develop for many reasons, including trauma, tumors, developmental abnormalities and sometimes with no clear cause. Chiari malformations are commonly associated with these conditions, but not exclusively. ...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
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
Maybe: See a neurologist or neurosurgeon.Get a more detailed answer ›