Chiari malformations (CMs) are structural defects in the area of the back of the head where the brain and spinal cord connect. They are congenital, meaning they are present at birth, and are a type of birth defect.
What is Chiari Malformation?
Chiari malformation is a structural problem in the back of the head where the brain and spinal cord connect. The cerebellum is pushed downward into the spinal canal and may interfere with the normal flow of cerebrospinal fluid (CSF) in the spinal cord. This can cause a wide variety of symptoms, including pain, muscle weakness, balance problems, vision problems, headaches, and other neurological problems.
Types of Chiari Malformation
There are several types of Chiari malformations, including type I (CM1), type II (CM2), type III (CM3), and type IV (CM4). Type I is the most common and is caused by a small posterior fossa, a small opening between the skull and the first vertebra. Type II is the second most common and is caused by the cerebellum and brainstem extending into the spinal canal. Types III and IV are rare and involve a combination of brain and spinal cord malformations.
Diagnosis of Chiari Malformation
Chiari malformation is usually diagnosed through imaging tests, such as an MRI. The MRI can show the size of the posterior fossa and the extent of the malformation. Other tests, such as a CT scan, may be needed to rule out other conditions that can cause similar symptoms.
Treatment of Chiari Malformation
Treatment for Chiari malformation depends on the type and severity of the condition. In some cases, no treatment is necessary. For more severe cases, surgery may be needed to correct the malformation and relieve pressure on the brain and spinal cord. Physical therapy and medications may also be used to manage symptoms.