Chiari 1 Malformation Surgery. Surgery for chiari malformation involves dissection of the muscles of the neck so neck pain and stiffness are common problems during the recovery period. That means opening the skin retracting back the muscles and then removing the bone shown here in yellow.
It involves removing small parts of the skull bones. Not everyone with chiari malformation requires surgery but when a patient s individual circumstances warrant it a neurosurgeon may recommend decompression surgery known as a decompressive suboccipital craniectomy and cervical laminectomy. Surgery for chiari malformations.
The dura overlying the herniated tonsils is opened and a patch is sewn to expand the space similar to letting out the waistband on a pair of pants.
In the most common surgery for chiari malformation called posterior fossa decompression your surgeon removes a small section of bone in the back of your skull relieving pressure by giving your brain more room. In chiari malformation surgery doctors remove a small section of bone at the back of your skull to make room for part of your brain cerebellum and relieve pressure on your brainstem cerebellum and spinal cord. They fall into two general categories. The dura overlying the tonsils is opened and a patch is sewn to expand the space similar to letting out the waistband on a pair of pants.