Given the wide range of anatomical severity, as well as a large number of associated abnormalities which are sometimes encountered, it should be no surprise that the clinical presentation of patients with Chiari II malformations is also varied both in [radiopaedia.org]

Doctors categorize Chiari malformation into three types, depending on the anatomy of the brain tissue that is displaced into the spinal canal and whether developmental problems of the brain or spine are present. [mayoclinic.org]

Even if symptoms do not improve significantly, surgery might prevent existing symptoms from worsening. [4] Last updated: 9/11/2017 The long-term outlook depends on the nature of the malformation and the symptoms present in each person. [rarediseases.info.nih.gov]

Twelve cases of marked and 7 of slight basilar impression, and one of possible "manifestation of occipital vertebra" are reported; occipitalization of atlas coexisted in 9 cases, and Klippel-Feil syndrome in 4; other malformations were also present (rachischisis [scielo.br]

• Inspiratory Stridor

  stridor 0005348 Limb muscle weakness Limb weakness 0003690 Multifactorial inheritance 0001426 Muscular hypotonia Low or weak muscle tone 0001252 Myelomeningocele 0002475 Nystagmus Involuntary, rapid, rhythmic eye movements 0000639 Occipital neuralgia [rarediseases.info.nih.gov]

• Stridor

  Feeding difficulties Feeding problems Poor feeding [ more ] 0011968 Generalized hypotonia Decreased muscle tone Low muscle tone [ more ] 0001290 Gray matter heterotopia 0002282 Hydrocephalus Too much cerebrospinal fluid in the brain 0000238 Inspiratory stridor [rarediseases.info.nih.gov]

• Choking

  Chiari malformation type 1 can also experience: Neck pain Unsteady gait (problems with balance) Poor hand coordination (fine motor skills) Numbness and tingling of the hands and feet Dizziness Difficulty swallowing, sometimes accompanied by gagging, choking [mayoclinic.org]

• Neck Pain

  People with Chiari malformation type 1 can also experience: Neck pain Unsteady gait (problems with balance) Poor hand coordination (fine motor skills) Numbness and tingling of the hands and feet Dizziness Difficulty swallowing, sometimes accompanied by [mayoclinic.org]

• Headache

  Clinical manifestations of types I-III include TORTICOLLIS; opisthotonus; HEADACHE; VERTIGO; VOCAL CORD PARALYSIS; APNEA; NYSTAGMUS, CONGENITAL; swallowing difficulties; and ATAXIA. [hon.ch]

  Others may have symptoms such as: dizziness muscle weakness numbness vision problems headaches problems with balance and coordination Chiari malformations affect females more often than males. [webmd.com]

  Headaches, often severe, are the classic symptom of Chiari malformation. They generally occur after sudden coughing, sneezing or straining. [mayoclinic.org]

• Tingling

  People with Chiari malformation type 1 can also experience: Neck pain Unsteady gait (problems with balance) Poor hand coordination (fine motor skills) Numbness and tingling of the hands and feet Dizziness Difficulty swallowing, sometimes accompanied by [mayoclinic.org]

You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments. [rarediseases.info.nih.gov]

Surgery is the only treatment that can correct functional defects or stop progression of damage to the central nervous system. [webmd.com]

Treatment of Chiari malformation depends on the form, severity and associated symptoms. Regular monitoring, medications and surgery are treatment options. In some cases, no treatment is needed. [mayoclinic.org]

[…] and prognosis Treatment of patients with Chiari II malformation is complex due to the variable form and severity of malformations: myelomeningocele repair and management of neurogenic bladder is performed on the in utero fetus at some centers in select [radiopaedia.org]

Particular reference to surgical and orthopedic treatments is made. [scielo.br]

[…] the aqueduct which results in aqueductal stenosis and hydrocephalus the cerebellar tonsils and vermis are displaced inferiorly through the foramen magnum, which appears crowded Spine spina bifida aperta / myelomeningocele tethered cord Treatment and prognosis [radiopaedia.org]

As almost all neonatal patients with Chari II have a myelomeningocele, it has been suggested that the underlying etiology is that of in utero CSF leak due to open spinal dysraphism. [radiopaedia.org]

Etiology and treatment of neurologic signs. J. Nerv. a. Ment. Dis., 117:479-491 (junho) 1953. [ Links ] 30. O'CONNEL, J. E. A.; TURNER, J. W. A. - Basilar impression of the skull. Brain, 73:405-426, 1950. [ Links ] 31. PHILIPS, D. [scielo.br]

Even if symptoms do not improve significantly, surgery might prevent existing symptoms from worsening. [4] Last updated: 9/11/2017 The long-term outlook depends on the nature of the malformation and the symptoms present in each person. [rarediseases.info.nih.gov]