Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legsBrain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legsBrain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
 

Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs

The Chiari malformation can be divided in 3 types, althouh some doctors include a fourth type within the classification


The posterior fossa is uaually small, and some part of the brain (cerebellum or brain stem) protrudes into the neck. This can cause a "blockage" reduction in cerebrospinal fluid pathways and hence symptoms.

Classification

  • Chiari 1    Cerebellar tonsils protrude through the formaen magnum
  • Chiari 2    Cerebellum, brain stem and part of the IV ventricle protrude
  • Chiari 3    The above accociated with an encephlocoele
  • Chiari 4    Incompatible with life

Chiari 1

  • Often asymptomatic
  • May cause headaches with activities which increase the pressure in the brain
  • Headache aggtivated with coughing or sneezing
  • 2-10% associated with hydrocephalus
  • May lead to a syrinx
  • Treatment only if symptomatic or causing a syrinx

Treatment of a Chiari 1

  • Always treat the hyrocephalus first (shunt)
  • Ideally a bony foramen magnum decompression
  • Cerebellar tonsillectomy if the bony decompression fails
  • Treatment of the syrinx (decompression or shunt)
  • Only if the syrinx fails to settle with treatment of the chiari 

Chairi 2

  • Always associated with an open myelomeningocoele (see spina bifida)
  • May present at birth with respiratory and feeding problems-urgent decompression
  • In early childhood can cause bulbar problems (feeding, drooling) 

Treatment of Chiari 2

  • Need to treat and outcome is controversial
  • The surgey is a cervical laminectomy
Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs
 Brain Tumour, Sciatica, Back Pain, Backache, Headache, Migraine, sciatica both legs