5 doctors weighed in:

Why do chiari malformations need to be surgically corrected?

5 doctors weighed in
Dr. William Goldie
Pediatrics - Neurology
2 doctors agree

In brief: Many do not

The finding of a type one chiari malformation is often an incidental finding on MRI of no clinical significance.
These do not need surgery. Surgery for the malformation is quite complex and must be considered very carefully. There are significant risks to the surgery that must outweigh the risks of not doing surgery. Second, third, and fourth opinions may be appropriate.

In brief: Many do not

The finding of a type one chiari malformation is often an incidental finding on MRI of no clinical significance.
These do not need surgery. Surgery for the malformation is quite complex and must be considered very carefully. There are significant risks to the surgery that must outweigh the risks of not doing surgery. Second, third, and fourth opinions may be appropriate.
Dr. William Goldie
Dr. William Goldie
Thank
Dr. Roger Frankel
Neurosurgery
1 doctor agrees

In brief: Often they don't

Chiari type i malformations result from the lowest part of the cerebellum (the tonsils) extending below the skull into the top of the spinal column.
This only needs to be treated surgically if there are symptoms of spinal cord or brainstem compression. This is not an appropriate surgery for chronic fatigue syndrome and i will rarely consider it for patients with headaches as their only symptom.

In brief: Often they don't

Chiari type i malformations result from the lowest part of the cerebellum (the tonsils) extending below the skull into the top of the spinal column.
This only needs to be treated surgically if there are symptoms of spinal cord or brainstem compression. This is not an appropriate surgery for chronic fatigue syndrome and i will rarely consider it for patients with headaches as their only symptom.
Dr. Roger Frankel
Dr. Roger Frankel
Thank
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