Chiari headaches are a type of headache caused by a malformation of the cerebellum, the part of the brain located at the back of the skull. The condition is known as Chiari malformation type I (CM-I). Symptoms of Chiari headaches include chronic headaches, dizziness, neck pain, numbness or tingling sensations in the arms or legs, difficulty swallowing, blurred vision, ringing in the ears, and balance problems.
Symptoms of Chiari Headaches
Chiari headaches can range from mild to severe. Common symptoms include:
•Chronic headaches: The headache can be described as a dull, steady ache in the back of the head and/or neck, or it may be a sharp, stabbing pain.
•Dizziness: Some people with Chiari headaches experience dizziness or lightheadedness when they stand up or change positions.
•Neck pain: People with Chiari headaches often experience neck pain that may be accompanied by stiffness.
•Numbness or tingling sensations in the arms or legs: This is a common symptom of Chiari headaches.
•Difficulty swallowing: Some people with Chiari headaches experience difficulty swallowing or a feeling of choking.
•Blurred vision: People with Chiari headaches may experience temporary blurred vision or double vision.
•Ringing in the ears: A ringing or buzzing noise in the ears is another common symptom of Chiari headaches.
•Balance problems: People with Chiari headaches may also experience balance problems or a feeling of unsteadiness.
Diagnosis of Chiari Headaches
In order to diagnose Chiari headaches, your doctor will need to perform a physical exam and obtain a detailed medical history. During the physical exam, your doctor will check for signs of a Chiari malformation, such as a difference in the size of your skull or a protruding area at the back of your head. Your doctor may also order imaging tests, such as an MRI or CT scan, to confirm the diagnosis.
Treatment of Chiari Headaches
Treatment for Chiari headaches depends on the severity of your symptoms and the underlying cause. Treatment may include medication, physical therapy, and in some cases, surgery.
Medications: Your doctor may prescribe medications to help relieve the pain and other symptoms of Chiari headaches. These may include pain relievers, anti-inflammatory medications, anticonvulsants, and muscle relaxants.
Physical therapy: Physical therapy can help relieve pain and improve range of motion in the neck and shoulders. Exercises may include stretching, strengthening, and range of motion exercises.
Surgery: In some cases, surgery may be necessary to correct the underlying cause of the Chiari malformation. Surgery may involve removing part of the skull or decompressing the cerebellum.
Chiari headaches can be debilitating, but with proper diagnosis and treatment, the symptoms can be managed. If you are experiencing any of the symptoms of Chiari headaches, make an appointment with your doctor to get a proper diagnosis.