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Chiari Malformation

If you experience an chiari malformation, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is A Chiari Malformation?

Chiari malformation is a neurological condition where brain tissue extends into the spinal canal, disrupting normal brain function. This condition occurs when the cerebellum—the part of the brain responsible for balance—presses against the spinal cord, leading to a variety of symptoms and potential complications. While Chiari malformation can affect individuals of all ages, its severity and symptoms can vary greatly. At [Your Clinic Name], our orthopedic specialists, in collaboration with neurologists and other healthcare professionals, provide comprehensive care and support to manage this condition effectively.

Types of Chiari Malformation

Chiari malformation is classified into four types based on the severity and structure of the brain’s displacement:

  • Type I Chiari Malformation: This is the most common form, where the lower part of the cerebellum (called the cerebellar tonsils) extends into the spinal canal. Often, individuals with Type I Chiari malformation may have no symptoms or experience mild symptoms that worsen over time.

  • Type II Chiari Malformation: Also known as Arnold-Chiari malformation, this type involves a more significant displacement of brain tissue, often leading to symptoms in infancy or childhood, such as hydrocephalus (excess fluid on the brain) and nerve dysfunction.

  • Type III Chiari Malformation: A rare and severe form of Chiari, Type III involves part of the cerebellum herniating through an opening in the skull, leading to serious complications and requiring urgent medical intervention.

  • Type IV Chiari Malformation: This is the least common and most severe form, characterized by an underdeveloped cerebellum. It can result in life-threatening complications and typically requires early intervention.

Causes and Risk Factors

Chiari malformation is typically congenital, meaning it is present at birth. However, certain factors may increase the risk of developing the condition, including:

  • Genetic factors and family history of Chiari malformation

  • Abnormalities in brain development during pregnancy

  • Injury or trauma to the head or neck

In some cases, Chiari malformation may develop as a result of other medical conditions, such as a brain tumor or an injury.

Symptoms of Chiari Malformation

Symptoms of Chiari malformation can range from mild to severe and may develop gradually over time. Common symptoms include:

  • Headaches, often worsening with coughing, sneezing, or straining

  • Neck pain or stiffness

  • Balance problems or difficulty walking

  • Numbness or tingling in the arms or legs

  • Vision problems

  • Muscle weakness

  • Difficulty swallowing or speaking

Treatment and Management

Treatment for Chiari malformation depends on the severity of the condition and the symptoms experienced. For mild cases, regular monitoring and pain management may be sufficient. In more severe cases, surgical intervention may be required to relieve pressure on the brain and spinal cord. Surgery may involve removing part of the skull or spine to create more space for the brain, or in some cases, decompression surgery is performed to relieve symptoms.

 

If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.