Chiari Malformations

What is a Chiari malformation?

A Chiari malformation is an irregularity where brain tissue extends into the spinal canal, located at the junction of the brain and spinal cord at the back of the head.

Common Symptoms

Symptoms vary based on the specific type of Chiari malformation. Many individuals with type I may not exhibit symptoms and might not necessitate treatment. For those who do, symptoms typically emerge in late childhood or adulthood. The hallmark indication of this condition is intense headaches at the rear of the head, often triggered by actions like coughing, sneezing, or straining. Additional symptoms can include neck discomfort, issues with balance, impaired hand coordination, tingling or numbness in the extremities, dizziness, difficulty swallowing, visual disturbances, or speech impairments.

Diagnosis of Chiari Malformation

The more severe variations of the condition, namely types II and III, are usually diagnosed through prenatal ultrasound or shortly after birth. Type I can be identified through a physical examination and imaging studies, typically involving magnetic resonance imaging (MRI) scans. In cases where symptoms are absent, the condition might come to light during the evaluation or management of an unrelated medical problem.

Treatment Approaches for Chiari Malformation

Some symptomatic instances of Chiari malformation can be managed with pain relief medications. Alternatively, surgical intervention might be necessary in certain cases to alleviate pressure on the brain and spinal cord, either to mitigate symptoms or halt the progression of central nervous system damage. A surgical procedure called posterior fossa decompression involves the removal of a small section of the skull bone to create more space for the brain. Additionally, a portion of the spinal cord might also be removed.

The surgeons at North Carolina Neuroscience & Spine Center can help guide you in choosing the most suitable treatment course. To schedule an appointment with North Carolina Neuroscience & Spine Center, please contact 919-784-7550 .

Next Day Appointments Available

The surgeons at North Carolina Neuroscience & Spine Center can help you decide on the treatment that’s best for you. They specialize in minimally invasive spine surgery and are experienced in diagnosing and treating disc disorders and disease, using the newest techniques for relieving pain and returning you to an active lifestyle. To make an appointment at North Carolina Neuroscience & Spine Center call 919-784-7550.