A Chiari malformation is a condition caused by the cerebellum, which is the part of the brain that controls balance, extending too far down into the spinal canal. It can cause a range of symptoms, such as headaches, dizziness, difficulty swallowing, and neck pain. In some cases, the condition can get worse over time.
The condition can progress in severity for several reasons. Over time, the cerebellum may become further compressed, which can cause more symptoms and greater discomfort. Additionally, the condition can be aggravated by activities that involve straining the neck, such as lifting heavy objects or playing certain sports. Even activities such as coughing or sneezing can increase pressure on the cerebellum and worsen the symptoms.
In some cases, the condition may also worsen due to changes in the spinal cord or surrounding tissues. For example, the ligaments and tendons in the neck can become stiffer over time, leading to increased pressure on the cerebellum. Additionally, the bones in the neck can become more curved, which can further compress the cerebellum.
If a Chiari malformation is left untreated, it can lead to a number of serious complications, including hydrocephalus, a condition in which excess fluid accumulates in the brain. Additionally, the condition can lead to impaired balance, difficulty speaking, and impaired coordination. In severe cases, it can even cause paralysis.
While a Chiari malformation can worsen over time, it is important to note that the condition can usually be managed with medical treatment. Surgery is often recommended to relieve the pressure on the cerebellum, and medication can be used to reduce symptoms. Additionally, physical therapy and lifestyle changes, such as avoiding activities that strain the neck, can help reduce the risk of the condition worsening.