Materiały źródłowe

• #1 Chiari malformation – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chiari-malformation/symptoms-causes/syc-20354010

  In Chiari malformation surgery, a small section of bone at the back of the skull is removed. This makes room for the part of the brain called the cerebellum. It also relieves pressure on the brainstem, cerebellum and spinal cord. […] Treatment of Chiari malformation depends on the type and the symptoms. Regular monitoring, medicines and surgery are treatment options. Sometimes no treatment is needed. […] See a health care professional if you or your child has any of the symptoms that may be associated with Chiari malformation. […] A full medical evaluation is important. […] In some people, Chiari malformation may have no symptoms and they don’t need treatment. In others, Chiari malformation gets worse over time and leads to serious complications.

• #2 Chiari Malformation: Causes, Types, Diagnosis, Treatment

  https://www.gillettechildrens.org/conditions-care/chiari-malformation

  A Chiari (kee-AH-ree) malformation occurs when the back of the brain develops abnormally and pushes into the spinal canal. […] The pressure on the cerebellum can prevent parts of the brain and spine from functioning properly. It sometimes causes problems with balance and coordination. […] Some Chiari malformations dont cause symptoms, and therefore dont require treatment. However, others cause a wide range of symptoms. The Gillette Childrens team of experts works with specialists to diagnose the condition in your child. […] Next, we partner closely with you to find the best treatment plan. Because Chiari malformation affects each child differently, we offer a wide range of tests, treatments and services for affected children, teens and adults. […] Our pediatric neurosurgeons work closely with you to decide whether your child could benefit from surgery.

• #3 Nursing perioperative management of type I Chiari malformation in adult: A case study using Roy’s adaptation model | Revista Científica de la Sociedad Española de Enfermería Neurológica

  https://www.elsevier.es/es-revista-revista-cientifica-sociedad-espanola-enfermeria-319-articulo-nursing-perioperative-management-type-i-S2013524621000118

  Nursing perioperative management of type I Chiari malformation in adult: A case study using Roy’s adaptation model […] The main needs we find are respiration (risk for ineffective breathing pattern), mobility (impaired physical mobility), sensation (acute pain), protection (risk for infection, and risk for bleeding), fluid and electrolyte (risk of fluid and electrolyte imbalance), and self-concept (anxiety). […] The nursing care process is an approach undertaken by nurses to provide nursing services that can describe competencies and professional performance. The nursing process consists of assessment, formulation of diagnosis, planning, implementation, and evaluation which can be applied with models based on nursing theory. […] Nursing interventions provided are pain management, hypokalemia management, and anxiety management based on the Nursing Intervention Classification.

• #4 Nursing perioperative management of type I Chiari malformation in adult: A case study using Roy’s adaptation model | Revista Científica de la Sociedad Española de Enfermería Neurológica

  https://www.elsevier.es/es-revista-revista-cientifica-sociedad-espanola-enfermeria-319-resumen-nursing-perioperative-management-type-i-S2013524621000118

  Nursing perioperative management of type I Chiari malformation in adult: A case study using Roy’s adaptation model […] The main needs we find are respiration (risk for ineffective breathing pattern), mobility (impaired physical mobility), sensation (acute pain), protection (risk for infection, and risk for bleeding), fluid and electrolyte (risk of fluid and electrolyte imbalance), and self-concept (anxiety). […] The nursing care process is an approach undertaken by nurses to provide nursing services that can describe competencies and professional performance. The nursing process consists of assessment, formulation of diagnosis, planning, implementation, and evaluation which can be applied with models based on nursing theory. […] Nursing interventions provided are pain management, hypokalemia management, and anxiety management based on the Nursing Intervention Classification.

• #5 Chiari malformation – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chiari-malformation/symptoms-causes/syc-20354010

  In Chiari malformation surgery, a small section of bone at the back of the skull is removed. This makes room for the part of the brain called the cerebellum. It also relieves pressure on the brainstem, cerebellum and spinal cord. […] Treatment of Chiari malformation depends on the type and the symptoms. Regular monitoring, medicines and surgery are treatment options. Sometimes no treatment is needed. […] See a health care professional if you or your child has any of the symptoms that may be associated with Chiari malformation. […] A full medical evaluation is important. […] In some people, Chiari malformation may have no symptoms and they don’t need treatment. In others, Chiari malformation gets worse over time and leads to serious complications.

• #6 Chiari Malformation Type I

  https://healthlibrary.uwmedicine.org/Search/134,257

  You may be treated by a neurologist or neurosurgeon. These are experts in brain and spinal cord problems. Treatment will depend on your symptoms, age, and general health. It will also depend on how severe the condition is. […] Your healthcare provider may prescribe medicines to reduce pain. Or they may choose surgery. This is done to relieve pressure on the brain or restore the flow of spinal fluid. […] Carefully watching for changes in your health can help prevent these problems. This helps to make sure that treatment is done early. […] In addition to the physical problems, the emotional and financial stress caused by a Chiari malformation diagnosis can be hard for you and your family members. Ask your healthcare provider for community support resources or professional counselors if you need help managing the stress caused by this diagnosis.

• #7 Chiari Malformation Type I in Children

  https://www.nationwidechildrens.org/conditions/health-library/chiari-malformation-type-i-in-children

  Your child may be treated by neurologists and neurosurgeons. These are experts in brain and spinal cord problems. Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how bad the condition is. […] Your child’s health may be watched closely. This may include frequent physical exams and MRI tests. Your child’s health care provider may advise surgery to prevent problems. […] Your child’s provider may prescribe medicines to reduce pain. Or they may advise decompression surgery. This is done to relieve pressure on the brain, or to restore the flow of spinal fluid. […] Your child’s provider may suggest keeping a close watch on the problem with a special type of MRI called cine phase contrast. This helps look for blocked spinal fluid flow. Your child may need surgery, based on the MRI results or if symptoms get worse.

• #8 Chiari Malformation Type I in Children

  https://www.nationwidechildrens.org/conditions/health-library/chiari-malformation-type-i-in-children

  Your child may need a sleep study. In this test, your child will be watched during sleep to look for problems. A sleep study can also help the provider decide on additional treatment. […] Carefully watching for changes in your child’s health can help prevent complications. This helps to make sure that treatment is done early. […] Your child’s health will be closely watched. This will include frequent physical exams and imaging tests, such as MRI. There is ongoing research on how to best manage Chiari malformations.

• #9 Nursing perioperative management of type I Chiari malformation in adult: A case study using Roy’s adaptation model | Revista Científica de la Sociedad Española de Enfermería Neurológica

  https://www.elsevier.es/es-revista-revista-cientifica-sociedad-espanola-enfermeria-319-resumen-nursing-perioperative-management-type-i-S2013524621000118

  Postoperative nursing management in Chiari malformation patients aims to minimize the incidence of complications caused by surgery and anesthesia. […] Nursing interventions carried out in the preoperative phase focus on pain management and anxiety and collaboration in balancing electrolyte levels (potassium). […] In the postoperative phase, nursing interventions aim to minimize the complications and incidence of readmissions so that nurses place more emphasis on respiratory management by inspecting the patient’s respiratory status and positioning the patient in the supine position, pain management, fluid, and electrolyte management by observing fluid intake, output and balance. […] The Roy’s adaptation model approach was useful in this case as it focuses on the patient’s adaptability suitable for use in the nursing perioperative management of type I Chiari malformation in adults.

• #10 Chiari Malformation Type 1 – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554609/

  Patient education plays a significant role in familiarising the patient with the signs and symptoms of the condition and helping increase awareness of the close family, friends, and carers who may spend significant periods with the patient. Patient education and counseling regarding conservative and surgical management strategies are also critical in the shared decision-making process. […] In the management of Chiari 1 malformation, a collaborative and skilled interprofessional healthcare team is crucial to ensuring patient-centered care, positive outcomes, safety, and optimal team performance.

• #11 Get Chiari Malformation Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/chiari-malformation-treatment

  When you come to your appointment, your provider will want to talk with you about your symptoms. What they are. How long youve had them. How theyre affecting your life. Theyll do a physical exam to check your overall health, as well. […] This larger group of providers will build your treatment plan and help manage your care. They meet regularly with each other and you to make sure treatment is effective. […] Our team tailors your treatment to your needs. If you have no symptoms or mild ones, we may do watchful waiting. This means youll have regular checkups with your care team and MRIs to see if your condition is getting worse. For more severe Chiari malformations, surgery is the main treatment. […] This is the most common surgery for Chiari malformation. During this procedure, surgeons remove a part of the skull called the posterior fossa. The goal with this is to relieve pressure on your brain.

• #12 About the Chiari CARE Program | Neurological Surgery

  https://neurosurgery.weillcornell.org/programs/about-chiari-care-program

  The goal of Chiari CARE is to address your individual medical and surgical goals. […] There are many specialists involved with the complex care that is often required for those who live with and experience symptoms related to Chiari malformation. […] A patient’s best strategy is to get educated about symptoms, treatment options, and ways to get well and stay well. […] The procedure is done frequently and patients do very well. […] At the Weill Cornell Brain and Spine Center, almost all patients (more than 90 percent) have successful outcomes. […] Finding the best neurosurgeon for your Chiari surgery can be a challenge. […] The best brain and spine centers take a team approach to patient evaluation, and consider input from multiple specialists before making a recommendation. […] If the patient does not have symptoms and does not have a syrinx, yearly monitoring is often all that’s needed.

• #13 Chiari Malformation Nursing Care Plan Guide – Acibadem Health Point – ACIBADEM Hospitals – Acibadem Health Group

  https://www.acibademhealthpoint.com/chiari-malformation-nursing-care-plan-guide/

  Learning is key to Patient Empowerment and good health for Chiari malformation patients. Health Literacy helps patients and families get the condition and make smart choices. They can then follow the best treatment plans. […] After surgery for Chiari malformation, it’s key to follow a good care plan. This helps with recovery and getting back to normal. […] It’s key for patients to find ways to cope with Chiari malformation. Nurses should help by suggesting things like mindfulness and relaxation techniques, joining support groups, and talking openly about their feelings. […] Working together with the healthcare team is key for the best care for Chiari malformation patients. Everyone must work together and talk clearly. This way, we can focus on what the patient needs most. […] Technology is changing how we handle chronic conditions like Chiari malformation. It helps make patient care better, gives accurate diagnoses, and helps doctors talk to each other easily. […] For nurses, having the right resources is key to caring for Chiari malformation patients. Nurses are crucial in supporting patients, needing the latest info to give top care.

• #14 Nursing perioperative management of type I Chiari malformation in adult: A case study using Roy’s adaptation model | Revista Científica de la Sociedad Española de Enfermería Neurológica

  https://www.elsevier.es/es-revista-revista-cientifica-sociedad-espanola-enfermeria-319-articulo-nursing-perioperative-management-type-i-S2013524621000118

  The patient underwent foramen magnum decompression surgery, postoperatively the patient was treated in the ICU Room and the second day returned to the neurosurgery ward. […] In the postoperative phase, nurses emphasize respiratory management by observing the patient’s respiratory status and positioning the patient in the supine position, pain management, fluid and electrolyte management by observing fluid intake, output and balance, and management of surgical wounds by observing signs of bleeding, signs CSF leak signs, and signs of infection in the surgical wound. […] With planned nursing care, we were able to keep the patient free of postoperative complications. […] Roy’s adaptation model approach was useful in this case as it focuses on the patient’s adaptability suitable for use in the nursing perioperative management of type I Chiari malformation in adults. Nursing interventions carried out in the preoperative phase focus on pain management and anxiety and collaboration in balancing electrolyte levels (potassium). In the postoperative phase, nursing interventions aim to minimize the complications and incidence of readmissions so that nurses place more emphasis on respiratory management by inspecting the patient’s respiratory status and positioning the patient in the supine position, pain management, fluid, and electrolyte management by observing fluid intake, output and balance. Besides, surgical wound management is performed by observing the signs of bleeding, signs of CSF leakage, and signs of infection in the surgical wound.

• #15 Chiari Malformation Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/1483583-treatment

  Patients with Chiari I malformations who have minimal or equivocal symptoms without syringomyelia can be treated conservatively. Mild neck pain and headaches can be treated with analgesics, muscle relaxants, and occasional use of a soft collar. Frankly symptomatic patients should be offered surgical treatment. […] The goals of surgical treatment are decompression of cervicomedullary junction and restoration of normal CSF flow in the region of foramen magnum. Considerable controversy has existed throughout the years about the surgical steps that are required to achieve these goals. […] It has been noted in numerous studies that early surgical intervention is associated with better outcome in cases of symptomatic Chiari I malformation. […] The patient is carefully observed during the first 24 hours after surgery for any signs of brainstem dysfunction, particularly apnea, which is a rare but serious complication of Chiari surgery.

• #16 Chiari Malformations | Peter O’Donnell Jr. Brain Institute | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/chiari-malformations/

  When surgery is needed to treat a Chiari malformation, the goal is to stop progressive displacement of brain tissue into the spinal canal, to restore the normal flow of cerebrospinal fluid, and ease or stabilize symptoms. […] After surgery, patients recover in our dedicated neurointensive care unit (neuro ICU). Neurorehabilitation services are also available in the same building.

• #17 Chiari malformation in children – Children’s Health Neurology

  https://www.childrens.com/specialties-services/conditions/chiari-malformation

  At Children’s Health, we provide care for kids with all types of Chiari malformations including: […] After surgery, your child recovers on our dedicated pediatric neurosurgical floor. Our nurses specialize in helping children like yours get better after neurosurgery. […] We diagnose and treat Chiari malformations in hundreds of children every year. We have deep surgical expertise treating the most complex malformations. This depth of experience contributes to our higher-than-average success rates, helping kids relieve symptoms and live healthy, active childhoods.

• #18 Chiari Malformation Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/1483583-treatment

  Incisional pain and muscle spasms are common and are controlled with opiate analgesics and muscle relaxants. Some patients obtain partial pain relief by use of a soft cervical collar. Nausea and vomiting are also common and may prolong the hospitalization. […] During postoperative visits, patients are questioned about persistence or improvement of their preoperative symptoms. […] The most common complications of Chiari decompression are pseudomeningocele formation and CSF leakage. Early detection and repair of CSF leakage prevent the more serious complication of meningitis. […] Prognosis after surgery for Chiari I is generally good and depends on the extent of preoperative neurological deficits. Those with little or no neurological deficit, symptomatic primarily with pain, can expect an excellent outcome. However, individuals with severe and longstanding weakness and muscle atrophy are less likely to improve.

• #19 Chiari Malformation (Discharge Care)

  https://www.drugs.com/cg/chiari-malformation-discharge-care.html

  Call your doctor if: […] Your signs or symptoms get worse. […] You have questions or concerns about your condition or care. […] Medicines may be given to decrease the amount of CSF your body makes or to decrease CSF pressure. You may also be given prescription pain medicine, muscle relaxers, or antidepressants to relieve pain. […] Sleep upright on a wedge pillow or an adjustable bed to help decrease headaches. […] Massage or physical therapy may help relieve muscle spasms. […] Avoid high-risk activities that could cause head and neck injury, such as roller coasters, skiing, and competitive sports. […] Follow up with your doctor as directed: Write down your questions so you remember to ask them during your visits.

• #20 Chiari Malformation Treatment Options for Adults

  https://www.neurosurgeonsofnewjersey.com/blog/chiari-malformation-treatment-adult-options/

  As a patient, minimally invasive treatments means that you can expect to experience less bleeding, less pain and a shorter recovery period. […] Your hospital stay following a minimally invasive Chiari malformation procedure will typically be shorter than traditional open surgery. […] You will likely require less pain medication and/or need medication over a shorter duration. […] You may also be able to return to work and resume your normal activities more quickly, although recovery is a very individual process and varies from patient to patient. […] Although there are different treatment options to resolve a Chiari malformation, they each have a common treatment goal. […] One of the most commonly used procedures is decompression, which increases the space for the cerebellum and restores CSF flow.

• #21 Chiari-Related Diseases – Bobby Jones CSF

  https://bobbyjonescsf.org/chiari/

  Frequently, in Chiari brain surgery, the covering of the brain, called the dura mater, may be opened to study the brain and spinal cord. Also, a patch may be inserted to enlarge the covering and provide more room for the brain and the flow of CSF (cerebrospinal fluid). […] Chiari malformation surgery success rate can vary. According to one study, 80% of adults experienced dramatic improvement in symptoms after undergoing surgery. The risks and complications associated with Chiari surgery are: – Infection – Problems with healing – Cerebrospinal fluid leakage. […] 90% of the care you receive after surgery will be provided by someone other than the neurosurgeon! […] HERE ARE SOME IMPORTANT QUESTIONS TO ASK YOUR NEUROSURGEON BEFORE GOING THROUGH THE SURGERY SO YOU WILL GET HIGH-QUALITY POST-OP CARE: Who will I contact to help with care when I return home? Do you have a multi-disciplinary Chiari treatment team? Any sub-specialty doctors for Chiari that you will see after surgery will always depend on your symptoms.

• #22 Chiari malformation – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chiari-malformation/diagnosis-treatment/drc-20354015

  Our caring team of Mayo Clinic experts can help you with your Chiari malformation-related health concerns […] Chiari malformation care at Mayo Clinic […] After the surgery, you’ll need regular follow-up exams with your health care professional. This includes regular imaging tests to assess the outcome of surgery and the flow of cerebrospinal fluid.

• #23 Chiari malformation // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/chiari-malformation

  Chiari malformation is not common, but increased use of imaging tests has led to more diagnoses. Treatment of Chiari malformation depends on the type and the symptoms. Regular monitoring, medicines and surgery are treatment options. Sometimes no treatment is needed. […] Chiari malformation that causes symptoms is usually treated with surgery. The goal is to prevent more damage to the central nervous system. Surgery also can ease or stabilize symptoms. […] The most common surgery for Chiari malformation is called posterior fossa decompression. Surgery involves removing a small section of bone in the back of the skull. This relieves pressure by giving the brain more room. […] After the surgery, you’ll need regular follow-up exams with your health care professional. This includes regular imaging tests to assess the outcome of surgery and the flow of cerebrospinal fluid.

• #24 Chiari Malformation – Seattle Children’s

  https://www.seattlechildrens.org/conditions/chiari-malformation/

  Follow-up care is important after surgery to watch for any symptoms that come back or get worse. In most children, symptoms of a Chiari malformation start to improve during the first weeks after surgery. Some children continue to have symptoms. […] Your care team will let you know which activities your child should avoid, like heavy lifting and contact sports. The goal of the operation is to return your child to school, sports and full activities. […] Children with these conditions will need regular check-ups throughout life. Your doctor will look for new symptoms and check that any existing symptoms are not getting worse.

• #25 About the Chiari CARE Program | Neurological Surgery

  https://neurosurgery.weillcornell.org/programs/about-chiari-care-program

  As long as your employment does not involve heavy exertion, you will usually return in two or three weeks. […] Some patients do not require any treatment, and in some cases we can opt to treat the symptoms only, with pain medication. […] But managing pain does not treat the condition surgery is the only option that treats Chiari. […] All patients are potential candidates for minimally invasive or endoscopic surgery, and your neurosurgeon will discuss that with you thoroughly before making a decision. […] A second operation is very unlikely and may depend on the type of surgery performed.

• #26 Chiari Malformation | Duke Health

  https://www.dukehealth.org/pediatric-treatments/pediatric-neurosurgery/chiari-malformations

  Duke experts identify and treat Chiari malformations to help manage symptoms and avoid their progression. […] Our pediatric and adult neurosurgeons collaborate with specialists throughout Duke to care for people with Chiari malformations, especially if you or your child have other associated medical conditions. […] Chiari malformations are structural defects that affect tissue in the brainstem, cerebellum (the area of the brain at the back of the skull), and spinal cord. […] Our neurosurgeons collaborate with neurologists, sleep medicine specialists, therapists (physical, occupational, and speech), neuro-ophthalmologists, neuro-radiologists, pain medicine specialists, and others to provide you or your child with the best care. […] For people with less severe symptoms, we may recommend monitoring the Chiari malformation over time.

• #27 Chiari Malformation: Causes, Types, Diagnosis, Treatment

  https://www.gillettechildrens.org/conditions-care/chiari-malformation

  The Chiari malformation surgery (also known as posterior fossa decompression) increases space for the cerebellum and brain stem. This procedure relieves pressure on the brain and lets cerebrospinal fluid flow normally. […] Treatment for the complex symptoms and effects of Chiari malformation require a team approach. At Gillette, your family will work with experts in a wide range of specialties and services that might include: […] Our multidisciplinary team of experts is here to support your family, answer questions, and help your child feel their best every step of the way.

• #28 Chiari Malformation

  https://www.rwjbh.org/treatment-care/neuroscience/neurosurgery/conditions-treated/chiari-malformation/

  Medical treatment for Chiari malformation is best undertaken by a multidisciplinary team of specialists, including pediatricians, neurologists, neurosurgeons, ophthalmologists, and other health care professionals to comprehensively design the best treatment plan. […] Many patients with Chiari malformation do not need treatment if they display no symptoms. The benefits of surgery should be carefully weighed against any risks. If the patient has no discernible symptoms from Chiari malformation, then it is better left alone, as there is no guarantee surgery will produce any positive result. […] Patients with Types 2 and 3 are more likely to require craniectomy surgical care, which is often the first-line treatment to alleviate symptoms and to give the cerebellum more space and take pressure off the spinal cord. Surgery can also re-establish normal fluid circulation in the affected area where the defect is.

• #29

  https://childrens.wvumedicine.org/services/specialty-care/chiari-malformation-and-syringomyelia

  Patients with Chiari malformation travel from all over the region to receive care from our experienced neurosurgery team. […] WVU Medicine Childrens works with families to evaluate the severity of a child’s condition and develop a personalized treatment plan. This involves performing diagnostic tests to determine the severity of the Chiari malformation, addressing health concerns associated with Chiari malformation, and monitoring your child’s symptoms to determine whether they improve or worsen over time. […] Collaboration is an important factor to successful treatment. Our specialists include a pediatric neurosurgeon, neurologist, neuroradiologist, among others. They share their insights and expertise, establish a comprehensive diagnosis, create a detailed care plan and monitor each child’s progress closely to ensure that treatment is as effective as possible.

• #30 Chiari CARE | Neurological Surgery

  https://neurosurgery.weillcornell.org/chiari-care

  We offer comprehensive, multidisciplinary treatment at a world-class medical center with the ability to centralize care for our patients. […] We pride ourselves in taking a dynamic, centralized approach to provide you with our neurosurgical expertise, but more importantly we coordinate care with other qualified physicians. […] The Chiari CARE team at Weill Cornell Medicine Neurological Surgery is eager to work with you to help manage and collaborate medical care that is best for you and your needs. […] We incorporate our knowledge, determination, and patience into a multidisciplinary plan for your needs so that we may provide you with the best quality care available anywhere. […] While we prefer a thorough and in-person visit to our offices in New York, we also provide video visits or phone consultations if traveling to New York is not an option at this time.

• #31 Chiari Malformation | University of Iowa Health Care Stead Family Children’s Hospital

  https://uihc.org/childrens/services/chiari-malformation

  Our team treats children and adults with Chiari malformation type 1 and 2. […] Most Chiari malformations that cause symptoms must be treated by a neurosurgeon. […] No matter what type of Chiari malformation you have, you can count on our team for exceptional care. […] With proper treatment, many people with Chiari malformation go on to live relatively normal, healthy lives. But finding the right treatment starts with an accurate diagnosis. […] The treatments you may need for Chiari malformation depend on several factors. […] Your treatment plan may include: […] If your symptoms make it hard to get through the day, you’ll likely need brain surgery or spine surgery to correct the skull or spine abnormalities that cause them. […] Our neurosurgeons offer every type of surgery you may need to improve or overcome your symptoms. […] Our team treats patients of all ages, including infants and children; University of Iowa Stead Family Children’s Hospital is home to a pediatric Chiari malformation program. […] UI Health Care neurosurgeons have the skills and experience it takes to treat any of these problems.

• #32 Chiari Malformation – Seattle Children’s

  https://www.seattlechildrens.org/conditions/chiari-malformation/

  Our team of neurologists and neurosurgeons is among the most experienced in the nation in diagnosing and treating babies, children, teens and young adults. […] If your child does need treatment, our goal is to help them get back to their life, without symptoms or limits on their usual activities. We offer medicines, physical therapy, occupational therapy and surgery options. Our neurosurgeons are skilled in procedures such as Chiari decompression to make extra space for the lower part of the brain and the spinal cord. Together, you and your child’s doctor will decide whether your child needs treatment and which type is best. […] After surgery, we will give your child medicine to help ease pain and relax their muscles while they heal. Often children do not remember much about this healing time. Most children stay in the hospital 1 to 3 days after surgery.

• #33 Chiari malformations – Symptoms and Treatment | Conditions, Treatments & Specialty | Geisinger

  https://www.geisinger.org/patient-care/conditions-treatments-specialty/chiari-malformation

  Chiari malformations occur in an estimated 1 in every 1,000 children born. Whether you’re looking for a second opinion or an evaluation for Chiari malformations treatment, our pediatric neurosurgery team is dedicated to determining the best path of care customized to your child’s needs. […] When Chiari malformations are present, pressure on the cerebellum and brain stem can influence your child’s everyday functions. […] Our dedicated pediatric neurosurgery team uses the latest technology and minimally-invasive methods whenever possible. In many cases, surgery is the only Chiari malformation treatment option. […] Surgery will help ease the symptoms and may stop the progression of any possible central nervous system damage. […] Our pediatric neurosurgery specialists are backed by years of research and experience. With our team approach, your child is in the hands of a compassionate, experienced team who will provide your child with specialized and personalized care unique to their individual needs. […] Our pediatric neurosurgery team and pediatric specialists are here to support your child through diagnosis and treatment.

• #34 Chiari Malformation Treatment Options for Adults

  https://www.neurosurgeonsofnewjersey.com/blog/chiari-malformation-treatment-adult-options/

  Chiari malformations are typically developmental, which means they form as your body grows prior to birth. […] For adult patients with symptomatic Chiari malformations that do not respond to non-surgical treatment, there are several surgical options available. […] Your surgeon will likely recommend what he or she feels is best for you, but understanding the different options available allows you to make informed decisions about your health when the time comes to opt for or consent to a procedure. […] Most patients who are candidates for traditional Chiari malformation surgery are also eligible for minimally invasive approaches. […] In fact, many Chiari malformation specialists have come to prefer using minimally invasive treatments because they are just as effective as traditional surgery, with increased benefits to patients.

• #35 Chiari Malformation Treatment Options for Adults

  https://www.neurosurgeonsofnewjersey.com/blog/chiari-malformation-treatment-adult-options/

  As an adult Chiari malformation patient, it is likely that your surgeon has already recommended a treatment that he or she feels is most appropriate for you. […] There are a number of factors your doctor has taken into consideration before recommending one Chiari malformation treatment over another and these are individual to you and your condition. […] If your doctor has not presented minimally invasive Chiari malformation treatment as an option, you may wish to consider consulting with a Chiari malformation specialist. […] Your health care team wants you to be comfortable before, during and after your procedure.

• #36 Get Chiari Malformation Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/chiari-malformation-treatment

  Your surgical team may also need to remove some bone covering your spinal column. This helps spinal fluid flow better. It also makes more room for your spinal cord. […] Surgeons can open the dura and expand it with a patch. This gives your brain more room and reduces pressure on it. […] We can use electrocauterization to make more room in your skull so spinal fluid can drain better. We do this by shrinking a small section of the brain with a small amount of electricity. It doesnt cause any neurological damage. […] You may feel a bit blindsided when those headaches turn out to be a brain condition that might need surgery. But when you get Chiari malformation treatment from Cleveland Clinics experienced neurology team, you can take a deep breath knowing you have the best team on your side. Our experienced and caring providers are here to support you from the moment you schedule your first appointment. Throughout it all well be by your side, answering all your questions and guiding you through your personalized care plan.

• #37 Chiari Malformation Nursing Care Plan Guide – Acibadem Health Point – ACIBADEM Hospitals – Acibadem Health Group

  https://www.acibademhealthpoint.com/chiari-malformation-nursing-care-plan-guide/

  Chiari Malformation Nursing Care Plan Guide Chiari malformation is a complex condition that needs careful planning. A good care plan is key for better patient outcomes and a good life quality. […] This guide helps make care plans for Chiari malformation patients. It shows how nurses are key in caring for them, both in the short and long term. By focusing on the right treatment and care plans, nurses can make a big difference in managing this tough condition. […] Creating a detailed nursing care plan is key for Chiari malformation patients. It makes sure all parts of their care work together well. This shows a strong focus on caring for each patient as an individual, which improves their health. […] Nurses are very important in managing patients with Chiari malformation. They keep track of how patients are doing and document their progress. This is key to making good health care plans.

• #38 Chiari Malformation Nursing Care Plan Guide – Acibadem Health Point – ACIBADEM Hospitals – Acibadem Health Group

  https://www.acibademhealthpoint.com/chiari-malformation-nursing-care-plan-guide/

  Managing Chiari malformation means making a detailed and flexible nursing care plan. It starts with a careful Nursing Assessment. Then, it uses personalized treatment and regular checks. Here are the key steps for a good Chiari Management Plan. […] Nurses are key in helping with Chiari malformation. They use evidence-based methods to help patients. These methods aim to lessen problems and make patients better off. […] Dealing with pain and discomfort in Chiari Malformation needs a full plan. This plan uses both medicine and other ways to help. It aims to ease symptoms and make life better for patients. […] Keeping an eye on how the brain is working is key for Chiari malformation patients. It’s important to have regular Neurological Evaluations and detailed Clinical Assessments. This helps make sure the Chiari Progress Monitoring is right and helps use Nursing Tools for Neurological Health well.

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