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Doctor insights on: What Are The Risks Of Surgery To Treat Chiari Malformation

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What are the risks of surgery to treat chiari malformation?

What are the risks of surgery to treat chiari malformation?

Many things: Surgery to decompress the herniations can either focus on removing some of the bones to allow more room, or detangling the spinal cord as it leaves the brain (rarely done). This is serious surgery that can result in infections, paralysis, problems breathing, and worse. However neurosurgeons today are incredibly trained and can do amazing things! ...Read more

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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 is the surgery for chiari malformations like?

What is the surgery for chiari malformations like?

Two types : There are two types- one for back and one for liver so please ask and let us know which one. ...Read more

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What are the risks of surgery to remove hemorrhoids?

What are the risks of surgery to remove hemorrhoids?

Several: Pain for a week or two after surgery. Bleeding after surgery. Stenosis (narrowing) from scarring. Infection (rarely). Recurrence of hemorrhoids in the future. ...Read more

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What are the risks of having surgery to correct congenital penile curvature?

What are the risks of having surgery to correct congenital penile curvature?

See below: There are two ways of correcting the anomaly: 1. Shorten the dorsal side with sutures if the penis has adequate length. 2. Add tissue grafts to the bottom of the penis if the length would be compromised. The first procedure is very successful in experienced hands and is associated with a low complication rate (infection, hematoma). The second procedure is more complicated: scarring, ballooning. ...Read more

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What are the surgical risks of a lobotomy?

What are the surgical risks of a lobotomy?

Too high: Only in extremely rare cases would anyone recommend this procedure now. If a doctor is recommending this procedure, i would get a second opinion before considering it. ...Read more

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What other diseases are know with arnold chiari malform. How might these effect surgical outcome? Which patches are best for duraplasty?

What other diseases are know with arnold chiari malform. How might these effect surgical outcome? Which patches are best for duraplasty?

Arnold-Chiari: Sometimes an abnormality may be detected in the spinal cord. The fluid filled structure is called a syrinx. Please discuss this and other possibilities with your neurologist. ...Read more

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What are the complications of thyroid surgery?

What are the complications of thyroid surgery?

2 main ones: Any surgery has risks from the anesthesic, as well as bleeding and infection. These problems are rare. Thyroid surgery specifically risks injury to the vocal cord nerves which can cause hoarseness. Injury to the parathyroid glands can cause low blood calcium. These problems also should be rare and are not expected after thyroid surgery, but you should discuss with your surgeon. ...Read more

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What are the common risks of laser spine procedures?

What are the common risks of laser spine procedures?

Why: Laser spine surgery carries with it the same dangers as conventional spine surgery. The real question is are there advantages of laser spine surgery over conventional spine surgery. According to a paper by the mayo clinic laser spine surgery does not provide any advantage over conventional spine surgery. There are no independent studies that have confirmed the benefits of the laser spine surgery over conventional spine surgery. Additionally there in the next the tremendous expense of laser spine surgery that cost approximately 2 to 3 times that of conventional. ...Read more

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What are the risks of surgery complications caused smoking?

What are the risks of surgery complications caused smoking?

Everything: From infection, poor / non healing, incision / repair breakdown to higher risk of cardiopulmonary complications are all reported with tobacco use. However, good outcomes are also noted with patients who quit tobacco use before surgery and do not resume smoking till their healing is complete. If you can't or don't want to quit for good - at least take a break around the time of your surgery. ...Read more

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What are the possible complications of prostate surgery?

What are the possible complications of prostate surgery?

Incontinence and ED: Assuming robotic approach short term (all rare in experienced centers): 1. Bleeding requiring transfusion 2. Heart or breathing problems 3. Blood clot in leg and/or lung 4. Damage to internal organs long term: 1. Incontinence (leaking urine) 2. Erectile dysfunction 3. Bladder neck scarring (rare) not an exhaustive list. Find a formally trained, experienced surgeon to discuss your risks. ...Read more

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What are the symptoms of an arnold chiari malformation?

What are the symptoms of an 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, and a spinal myelomeningocele (open spina bifida). Symptoms: lower extremity paresis, hydrocephalus, bowel/bladder control impairement, inability to indipendently ambulate. ...Read more

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Doctors, what are the risks of the adenoid removal surgery?

Doctors, what are the risks of the adenoid removal surgery?

See below: The risks of adenoidectomy include pain, infection, bleeding, velopharyngeal insufficiency (which means inability to close the nose from the mouth when speaking or swallowing), regrowth of the adenoids. ...Read more

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What are the risks of having surgery for TMJ disorder?

What are the risks of having surgery for TMJ disorder?

Tmj surgery: There are many risks associated with TMJ surgery. All other treatments should be explored first. Have you considered functional orthodontics. This is currently the best treatment for TMJ problems. ...Read more

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What are the likely complications of lumbar spinal surgery?

What are the likely complications of lumbar spinal surgery?

Several depending : Depends on the type of surgery- laminectomy, diskectomy or fusion ( with or without instrumentation) or a combination of these, whether it is a second surgery and from what approach is used as well as dependent on your underlying physical condition ( age, weight, diabetic, smoker, bone density). Risks include: infection, nerve injury, spinal fluid leakage, scar tissue formation, and more. ...Read more

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What are the risks of refractive surgery and how common are they?

What are the risks of refractive surgery and how common are they?

Ref surgery risks: Risks for refractive surgery range from inadequate to over correction of error to visually debilitating consequences. I believe the best way to avoid these is to seek an expereinced and dedicated surgeon who performs more than one technique so the surgery is customized to your eyes and not limited to their abilities. No " one size fits all". ...Read more

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So what are the symptoms of congenital malformation?

So what are the symptoms of congenital malformation?

Which one?: There are many different congenital malformations with many different symptoms. ...Read more

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Dr. John Ho Dr. Ho
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What factors are used to decide whether to do endovascular coiling versus the extreme cranium surgery? I have a 5mm anterior communicating saccular

Dr. John Ho Dr. Ho
2 doctors agreed:
What factors are used to decide whether to do endovascular coiling versus the extreme cranium surgery?  I have a  5mm anterior communicating saccular

Coiling: The decision usually is based on anatomy of the aneurysm. If the aneurysm has a narrow neck and does not involve other vessels then coiling is the way to go as your recovery is almost nothing. Clipping is a big surgery with a lengthy recovery ...Read more

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What are the common risks of spinal cord stimulation surgery?

What are the common risks of spinal cord stimulation surgery?

Different: The low risks of such a procedure include infection, hematoma, neurologic injury, broken wire, loss or change in stimulation over time, dural tear, migration of wire leads, and failure of the wire or pulse generator. Prior to undergoing any procedure, speak with your doctor prior to undergoing any spinal procedures for full risks and benefits. ...Read more

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Do you treat ataxia? What is the cost of this treatment? My ataxia induced by ruptured avm

Do you treat  ataxia?
What is the cost of this treatment? My ataxia induced by ruptured avm

Ataxia : Ataxia is a difficult problem and I am sorry to hear of your dilemma. There are no specific, effective drug treatments for the lack of coordination seen with ataxia. Amantadine, Buspirone hydrochloride (buspar) and Modafinil (provigil) are often tried with variable success. For episodic ataxia, acetazolamide (diamox) or topiramate (topamax) can be effective. Clonazepam (klonopin) is effective in treating specific symptoms, such as muscle jerking (myoclonus) and sleep disturbances. Deep brain stimulation offers a potential surgical remedy but would require further investigation before determining whether you are a candidate. Good luck. ...Read more

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What are the risks of surgery to treat chiari malformation?

Many things: Surgery to decompress the herniations can either focus on removing some of the bones to allow more room, or detangling the spinal cord as it leaves the brain (rarely done). This is serious surgery that can result in infections, paralysis, problems breathing, and worse. However neurosurgeons today are incredibly trained and can do amazing things! ...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?

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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Is it possible for me to live with a chiari malformation and not have surgery?

Yes: Many people go through life completely unaware they have chiari malformation until they get their head and neck imaged for an unrelated injury. Good to know, but doesn't necessarily require surgery. If you need a spinal tap, then things get a bit murky so put it on your med history anyway. ...Read more

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What happens if you had surgery to correct a chiari malformation, can you join the air force?

What happens if you had surgery to correct a chiari malformation, can you join the air force?

Chiari malformation: It depends on what type of surgery you are going to have (what your true diagnosis is... be careful!) and what job you want at the airforce. Speak with your neurosurgeon and ask details, then call the recruiting folks for the air force and ask them what they think... do not rush into it at age 48... rare to have to have Chiari surgery done at that point.... good luck! ...Read more

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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

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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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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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How dangerous is surgery for the arnold chiari malformation in a 18-month old?

How dangerous is surgery for the arnold chiari malformation in a 18-month old?

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. ...Read more

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How dangerous to an 18-month-old is the surgery to fix the arnold-chiari malformation?

How dangerous to an 18-month-old is the surgery to fix the arnold-chiari malformation?

Safe if experienced: As a general rule, such surgeries should be done in major medical centers or in designated childrens hospitals by neurosurgeons who specialize in pediatric neurosurgery. Under those circumstances, the surgeries are as safe as they can be made and almost always better than not repairing the malformation. ...Read more

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I got results on my chiari malformation said 6mm below something and the nuero surgen doesn't want to do surgery why?

Surgery not needed: A chiari 1 malformation is not a dangerous condition, but can cause headaches, numbness, dizziness or unsteadiness. In yours, the cerebellar tonsils lie 6 mm below the foramen magnum (the hole at the base of the skull). This is fairly small and not dangerous so the only reason to have surgery is to relieve symptoms. Often the symptoms and the chiari are unrelated so surgery doesn't help. ...Read more

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I was just diagnosed with a Chiari Malformation and was curious what my restrictions are until surgery and what will it be like AFTER surgery as well.

Talk with your surg: Please please please talk with your specific Neurosurgeon nobody knows your situation better and you may require specific instructions in general stop all NSAIDs and avoid stress strain heavy lifting/coughing /valsalva if possible ...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 arnold chiari malformation type 1. I recently had corrective surgery. What are the possible side effects from that?

There are risks: With any brain surgery, there are risks or brain or nerve injury, bleeding, infection and even death in rare circumstances. Specific to chiari decompression, neck pain, CSF leak, and pseudomeningocele formation are also risks. ...Read more

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My son was diagnosis with chiari malformation and a 6mm cyst. Is this dangerous at least the cyst part? He's 9 yrs old, should he have any surgery pleasehelp

My son was diagnosis with chiari malformation and a 6mm cyst. Is this dangerous at least the cyst part? He's 9 yrs old, should he have any surgery pleasehelp

Chiari surgery: Based on the age of the child, the presence of a chiari malformation and the cyst i would recommend a consultation with a pediatric neurosurgeon and close follow up as the child reaches the teenage years. ...Read more

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If I had surgery for a chiari malformation in 2002 and they put a mesh patch in place of a piece of skull, could it be causing dystonia?

If I had surgery for a chiari malformation in 2002 and they put a mesh patch in place of a piece of skull, could it be causing dystonia?

Not likely: Dystonia is a complex problem usually caused by either meds, brain pathway problems, or both. The use of mesh in the chiari surgery is very common and never been reported to cause dystonia. It can cause some local headaches but they usually resolve spontaneously. ...Read more

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