Chiari malformation (CM) is a neurological disorder caused by a structural defect in the area of the brain and spine where the cerebellum, the part of the brain that controls balance, and the spinal cord meet. The defect is usually caused by a smaller than normal space at the lower part of the skull, which puts pressure on the cerebellum and causes it to protrude into the spinal canal. CM is often associated with a range of symptoms, including headaches, balance problems, difficulty swallowing, and neck pain.
Treatment
The goal of treatment for Chiari malformation is to reduce the pressure on the brain and spinal cord and to alleviate symptoms. Depending on the severity of the condition, treatment may include medication, physical therapy, surgery, or a combination of these. Medication may be prescribed to reduce inflammation and pain, while physical therapy can help to improve balance and coordination.
In more severe cases, surgery may be required to correct the defect and reduce pressure on the brain and spinal cord. This is known as a posterior fossa decompression, and is generally the most effective treatment for Chiari malformation. During the procedure, the area of the skull that is causing the pressure is opened and the bone is removed to give the cerebellum more space.
Prognosis
The prognosis for Chiari malformation depends on the severity of the condition and the individual's response to treatment. Generally, the prognosis is good for those who receive early and appropriate treatment. With proper treatment, many people with Chiari malformation can lead normal, healthy lives.
Does Chiari Ever Go Away?
Unfortunately, Chiari malformation is a lifelong condition and does not go away. However, with proper treatment and management, many people can lead normal, healthy lives.