Decompression For Chiari Malformation

Chiari malformation is a condition where the brain's cerebellum descends into the spinal canal, often causing a blockage in the flow of cerebrospinal fluid (CSF) and leading to increased pressure within the brain and spinal cord. This can cause a variety of symptoms, including headaches, neck pain, dizziness, balance problems, difficulty swallowing, and even more severe neurological impairments. In cases where these symptoms are severe or worsen over time, decompression surgery may be recommended to relieve the pressure on the brain and spinal cord.

Decompression surgery for Chiari malformation typically involves removing a small portion of the skull (usually at the back of the head) to allow more space for the cerebellum, a procedure known as a suboccipital craniectomy. In some cases, additional steps may be taken, such as removing part of the cervical spine's lamina or performing a duraplasty (a procedure where the dura mater, the protective covering around the brain and spinal cord, is expanded to ensure proper CSF flow). The goal of the surgery is to relieve pressure, restore normal CSF flow, and prevent further damage to the brain and spinal cord.

This surgery is generally performed under general anesthesia and may require a hospital stay of a few days. Post-surgery recovery can take several weeks, with regular follow-up visits to monitor healing and improvement of symptoms.