Chiari Malformation

It is a condition in which brain tissue extends downwards into the spinal canal. It is due to an abnormally small skull or misshapen and is usually seen at birth. Clinically patients may have difficulty swallowing and pain. Monitoring the patient and surgical intervention whenever necessary are the treatment options available.

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I am having Chiari malformation and I am experiencing headaches and neck pain even after surgery. Why?

Query: Hi doctor, I was diagnosed with Chiari malformation and underwent decompression surgery 10 years back. I also underwent two ACDF surgeries, of which one was performed eight years back, and one more surgery was performed six years back. I am experiencing headaches, neck pain that is radiating to my ...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I understand your concern. I suggest you answer the following questions to know further details about your headache : 1. When did you start having headaches and neck pain? 2. Which part of the head is aching? 3. Which part of your neck is paining? 4. What kind o...  Read Full »

How does spina bifida progress?

Query: Hello doctor, I have spina bifida, which is a slow degenerative syndrome. In the long run, what kind of deterioration will take place?  Read Full »

Dr. Solanki Chirag Natwarbhai

Answer: Hello, Welcome to Spina bifida may progress to involve both legs, where one may develop tingling, numbness, and weakness. One may also develop urinary retention and overflow incontinence. Many times if there is associated cranial abnormality like Chiari malformation, then sim...  Read Full »

Does MRI scan diagnose Chiari I malformation?

Query: Hi doctor, I have recently taken MRI as I had flair signals and got the results. What does this Impression mean: No acute intracranial process. A few tiny subcortical white matter FLAIR hyperintensities are most notably in the frontal lobes. Appearance is nonspecific. A similar finding can be seen i...  Read Full »

Dr. Mrinal Kumar Acharya

Answer: Hi, Welcome to I understand your concern. Chiari malformation type 1 occurs when the section of the skull containing a part of the brain (cerebellum) is too small or is deformed, thus putting pressure on and crowding the brain. As a result, the lower part of the cerebellum (tonsils) is ...  Read Full »

Why am I hearing scratching, crunching and trickling sounds from my ear?

Query: Hello doctor, This started with a red bump in the outer right ear canal. I thought it was a zit or something else. In the beginning, I was told it was impetigo, ringworm, and just a bacterial infection. Over a four-month period, I was on several antibiotics, which is more than five less than ten, a...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I understand your concern. According to your statement, you have been suffering from a bump-like lesion in the outer right ear canal. Your ANA (antinuclear antibodies) 1:640 speckled pattern. As your ANA titre is high, dermatomyositis may be a cause of that. Classical...  Read Full »

I have recently been diagnosed with Chiari malformation. Please suggest opinion.

Query: Hello doctor, I want your opinion about my Chiari malformation shown and described below. I am a 55-year-old female with a history of single major depressive disorder. I had COVID almost seven months back. I have had headaches, brain fog, memory loss, falling, neck and ear pain, tinnitus, migraine, ...  Read Full »

Dr. Rahul Pramod Patil

Answer: Hi, Welcome to I feel sorry for your frequent headache issue, but the good thing is that we have a diagnosis, which is Arnold-Chirari type 1. You need to do a screening magnetic resonance imaging (MRI) of the spine to look for associated findings like syrinx within the cord. Surgery i...  Read Full »

My previous CT scan showed Chiari Malformation. What does my recent brain MRI suggest?

Query: Hello doctor, I would like a radiologist to interpret my brain MRI. I am currently using tablet Metformin 500 mg twice daily. Kindly interpret the scan and advise. Thank you.  Read Full »

Dr. Muhammad Shoyab

Answer: Hello, Welcome to I have seen the MRI (magnetic resonance imaging) scan (attachments removed to protect patient's identity). It would have been more helpful if you mentioned what kind of health problems required you to get an MRI. However, the good news is that the MRI shows no abnor...  Read Full »

Why do I experience headaches even with the slightest stress?

Query: Hi doctor, I suffer from an exertional headache, once or more than one time a week, for 20 years now. Every time I stress my body even a little bit, carrying a burden for a little while, or doing a sexual activity, or even exercise without a proper warm-up, after 24 hours, I suffer from a dull, thr...  Read Full »

Dr. Aida Abaz Quka

Answer: Hi, Welcome to I understand your concern and would recommend performing a brain MRI in order to exclude possible Chiari Malformation, which can lead to this clinical situation. In the meantime, I would recommend to avoid straining, physical activity and trying taking Verapamil or To...  Read Full »

I have visual disturbance and tingling. Please help.

Query: Hi doctor, I caught Lyme disease two months ago. I had a 7 hour long vomiting session with it. Since then, I have had tingling in my arms, legs, hands and feet. A month ago, I started having kaleidoscope vision, followed by a medium headache. This is now happening three or more times a week and las...  Read Full »

Dr. Hardik Nareshbhai Rajyaguru

Answer: Hi, Welcome to I understand your symptoms well. Very high likely that your Chiari malformation with syrinx is giving you the trouble again. This time with hydrocephalus as well. Your symptoms are quite significant and points at syrinx progression with hydrocephalus. Clinically, I do not...  Read Full »

Are low back pain, leg pian and fatigue connected to Arnold-Chiari malformation surgery?

Query: Hello doctor, I have been dealing with severe lower back pain, hip pain, butt and leg pain, fatigue, insomnia, hot and sweaty, pain in wrist and fingers, foot pain (left foot my toes are curved down and one is curved to the left). I do not know if this has anything to do with arthritis but there ar...  Read Full »

Dr. Peter Bryant Rapsing Grutas

Answer: Hello, Welcome to I am sorry you are having these symptoms. Have you had any laboratory workups done before? How about imaging studies? There are many causes of your current symptoms and this makes it more complicated since you have Arnold-Chiari malformation. This includes autoimmu...  Read Full »

What is the treatment for chiari malformation?

Query: Hi doctor, I had an MRI three weeks ago and they told there is Chiari malformation about 8 mm. I went to a neurologist but he did not listen to me. I have a constant headache, a pressure in my necks and shoulders, nausea with vomiting daily. I have a problem with swallowing, buzzing in the left ear...  Read Full »

Dr. Ambekar Sudheer

Answer: Hi, Welcome to Tonsillar herniation of more than 5 mm in adults is significant and defined as Chiari type 1 malformation. The usual symptoms associated with this condition are imbalance while walking, cough induced headache, numbness over hands, nape of neck and weakness of hands. Man...  Read Full »

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