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.

Related Questions

Will the surgery to correct a chiari malformation get rid of the symptoms forever?

Nothing is forever. Decompressing a chiari malformation may reduce symptoms related to cranial nerve compression, headache and syringomyelia. The surgery does not "fix" the malformation and the results may or may not be permanent. Read more...
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...

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. . Read more...

If I have chiari malformation 1 and my spinal Mri came up negative do I still need surgery? I have symptoms just nothing wrong with my spinal fluid

Neurological . symptoms guide the decision that surgery is needed. Pressure from the cerebellum on the spinal cord or lower brainstem can cause neurological signs & symptoms. Read all the pages on www.mayoclinic.org/diseases-conditions/chiari-malformation/basics/definition/con-20031115. Seek a 2nd pediatric neurosurgical opinion if you are hesitant. . Read more...

Just diagnosed with chiari malformation 1 after mri. Is surgery always necessary? I have no symptoms other than posttussive headaches.

No. If your MRI of your cervical and thoracic spine did not show a syrinx and your neurologic exam is normal, then you can certainly monitor it and see how you do. Good luck. Read more...

My neurosurgeon my suggest surgery for chiari malformation. I have dizziness and gait disturbance that never goes away. Is this a common surgery?

It is not uncommon. Depending on symptoms, imaging evaluation (ususally MRI and mr cine to show CSF flow) you may be a candidate for neurosurgical decompression. Read more...
Chiari malformation. Gait issues and dizziness can be symptoms of a chiari malformation. If you have tonsillar herniation and compression at the skull base due to tonsillar herniation then you could benefit from this surgery to decompress the chiari. Read more...
Yes. Yes it is a procedure that neurosurgeons perform and are familiar with. Good luck. Read more...

Can decompression surgery for chiari malformation 1 relieve vision problems/issues (like blurry/double vision or seeing flashes) caused by chiari?

Depends. The goal of Chiara surgery is to restore the normal pattern of CSF flow & thereby prevent further deterioration of the visual (& balance) symptoms of the ACM malformation. Whether this helps existing symptoms depends on how long those symptoms have been present, the type of surgery contemplated, it's success rate, age, & underlying factors. It's a question to ask the neurologist who knows you best. Read more...