Understanding Chiari Malformation and When Surgery Helps

What Is Chiari Malformation?

Chiari Malformation is a condition where part of the brain, specifically the cerebellum, extends into the upper part of the spinal canal due to limited space in the skull. This happens when the skull is unusually small or misshapen, leaving less room for the brain. As a result, the brain tissue gets pushed downward, which can affect the normal flow of fluid around the brain and spine. This pressure may lead to symptoms like headaches, dizziness, or balance problems. Some people may not have symptoms at all, while others develop them over time.

Chiari Malformation Explained in Simple Terms

In Chiari Malformation, the bottom section of the brain extends into the upper part of the spinal canal, where it should not be. This crowding puts pressure on the brain and spinal cord and can block the normal flow of cerebrospinal fluid, which protects and nourishes the brain and spine. This condition can be present at birth (congenital) or may develop over time due to injury or other spinal problems. In many cases, it is found accidentally during an MRI done for another health issue.

Chiari Malformation Symptoms

• ✓ Painful headaches that typically feel stronger near the base of the skull
• ✓ Dizziness or balance problems
• ✓ Neck or shoulder pain
• ✓ Tingling or numbness in the hands or feet
• ✓ Weakness in the arms or legs
• ✓ Swallowing difficulties
• ✓ Problems with coordination or speech

Symptoms can get worse with physical activity, coughing, or sneezing. If you notice these signs becoming more frequent or intense, it is important to seek medical advice.

Chiari Malformation Treatment

Treatment depends on how serious the symptoms are. Some people may have mild discomfort that does not need surgery. For these individuals, surgical treatment is often not the first step and may be avoided unless symptoms worsen. Instead, doctors may suggest regular monitoring through MRI scans, pain-relief medication, or physical therapy. When symptoms begin to affect daily life or show signs of getting worse, surgery may be considered to relieve the pressure and improve fluid circulation.

Chiari Malformation Surgery

The surgical approach usually involves removing a small piece of bone from the lower back of the skull to reduce pressure on the brain tissue. This type of operation is referred to as a posterior fossa decompression. Sometimes, a part of the first cervical vertebra is also removed, or a patch is placed to widen the space and improve fluid flow. The goal of surgery is to ease current symptoms while also preventing potential long-term damage to both the brain and spinal cord.

Who to Consult

If you or someone you care about is facing symptoms of Chiari Malformation, it is important to connect with a specialist who understands both brain and spinal conditions. Dr. Jayesh Sardhara is well-known for his work in treating conditions related to the brain and spine. As a trusted neurosurgeon in Mulund and a leading brain and spine disorders specialist in Mulund, he offers patients a clear diagnosis and guidance on whether surgery is needed or not.

Looking Ahead With the Right Help

Finding out you have Chiari Malformation can feel overwhelming, but there is hope. Getting an early diagnosis and starting the right treatment can lead to much better outcomes. With expert care and proper follow-up, many patients find relief from their symptoms and continue to live full, active lives.