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.
Usually very safe. The procedure, when done in the hands of an experienced neurosurgeon, is very safe. There are always the risks of bleeding and infection, but these are usually easily manageable. Talk to your surgeon about the specific risks.
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.
Chiari Malformations. Chiari I and ii malformations are the most common. There are risks to any surgical procedure. If someone is recommending this surgery then I would assume that there is a good reason. Seek advice from a fellowship trained pediatric neurosurgeon.
All surgery serious. All surgery is serious. However, the surgery is not the most complicated. Speak to your prospective neurosurgeon about the procedure, and the recovery period.
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.
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.
Not related to BP. Need to look into upper abdominal cause such as gallstones or paraesophageal hernia.
Depends how complex. Chiari type 2 is associated with spina bifida, hydrocephalus, syrinx, apnea, etc. Surgery may involve closure of low back, vp shunt, decompression at the neck, among other procedures. Recovery depends on the initial severity of the problem and the complexity of the procedure. Complications of bleeding, infection, and wound healing will prolong recovery.
If uncomplicated. If the surgery is uncomplicated, only a few days.
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!
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 2nd neurosurgical opinion if you are hesitant.
Yes. Chiaris occur in many patients. If you are asymptomatic, you do not necessarily need surgery. However, if the chiari has caused other imagng abnormalities (like a cyst in your spine), you should consider surgery before irreversible injury and symptoms appear from the chiari.
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.