Doctor insights on:
Over The Counter Treatment For Chiari Malformation
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
Open up space: Surgery is done to make more space around the cerebellar tonsils which have descended below a bony landmark called the foramen magnum. Bone is removed in the suboccipital area and extended down over the cervical bones as needed to take any bone over the tonsils off. The dura or covering over the tonsils can be opened and a patch sewn over the area to increase the space. ...Read moreSee 1 more doctor answer
I saw a doctor who diagnosed chiari malformation. Now he wants to do treatment. I suspect he is churning. What is significance of the condition?
Churning?: Treatment of chiari malformations is surgical. These are usually surgical if the patient has specific headaches, difficulty swallowing, weakness, or hydrocephalus along with other symptoms. I'm not sure quite what you mean by churning but if you're uncomfortable with your neurosurgeon, please seek another opinion. Remember that we are here to help you and you should feel that from your surgeon. ...Read moreSee 1 more doctor answer
Surgery: Surgery is definitely an option but i would see someone who specializes in this and would make sure that your symptoms are of the sort that would improve. I would also get an MRI flow study that proves that there is abnormal flow through the foramen magnum. ...Read moreSee 1 more doctor answer
Do you have one?: You saw the malformation on an MRI, right? Who's the patient, you or the MRI? Are either you or the MRI having symptoms? If brain surgery (not a minor matter) were needed, who would have it, you or the MRI? You're making a common layperson's mistake: You're mistaking a test result for the thing itself. A Chiari malformation that causes no symptoms is much better left alone. ...Read moreSee 2 more doctor answers
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
Surgery alternatives: If your symptoms are from the chiari, surgery is the best option. To know for sure that it's the chiari causing your symptoms is the hardest part. Sometimes the only way to find out is to proceed with surgery. Neurosurgeons who treat a lot of chiari will develop a good sixth sense for who may get better and who may not (many people have MRI findings of chiari but won't get better with surgery). ...Read moreSee 2 more doctor answers
My best friend has chiari malformation, what type treatment would be suggested to help relieve some of the symptoms without surgery.
Yes and no: This is a disorder of spinal fluid circulation so Diamox (acetazolamide) is a medication that reduces cerebrospinal fluid output. If you have symptoms and this is more than just an incidental imaging finding, it is a long shot that this medicine will cure you. Removal of a portion of the back of the skill called suboccipital craniectomy, is a safe and effective procedure. ...Read moreSee 1 more doctor answer
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
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