Doctor insights on:
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 3 more doctor answers
What causes scrotum calcinosis? Can it be removed witout surgery? What are the complications of the surgery? Preventions?
Must be excised: I don't know of any other way to remove. Usually done under local anesthesia with quick recovery. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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
What factors are used to decide whether to do endovascular coiling versus the extreme cranium surgery? I have a 5mm anterior communicating saccular
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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