Tagged: Chiari Malfunction Type 1
WeldonParticipantOctober 24, 2019 at 4:03 amPost count: 9
These questions are not for me this time. My only grandson (13 years old) was just diagnosed with Chiari Malformation Type 1. He has been referred to a pediatric neurosurgeon. Well respected board certified pediatric neurosurgeon. Also fellowship trained. The pediatrician said after the MRI (original diagnosis was scoliosis) that the skull opening would need to be widened as described on your website.
My concern in doing research on the doctor I could not find any information on him performing that procedure. I would appreciate your guidance for qualifying the doctor(s) as you helped me with on my spondylolisthesis. I have the written report from the MRI if needed. From my daughter and son-in-law’s description, it matched your website description closely.
Thank your for your contribution to health!
WeldonDonald Corenman, MD, DCModeratorOctober 24, 2019 at 10:12 amPost count: 8468
The procedure can be just a posterior enlargement of the opening of the foramen magnum or can also include a posterior laminectomy of C1. Find out how many he has performed by directly asking him. Commonly, the dural sac has to be opened and enlarged along with the laminectomy so hopefully he also has this skill. It is an unusual operation so I expect he has not done more than 10 of these. The longer he has been in practice, the better he can be expected to perform.
Dr. CorenmanWeldonParticipantDecember 14, 2019 at 6:41 amPost count: 9
Here is an update on my grandson with the Chiari Malformation Type 1. My daughter did ask the Doctor prior to committing to him, as you suggested, about how many times he had done the operation. It was over 65! He teaches at the state medical school and also practices at the state Children’s Hospital. I have had a relationship with this hospital and its foundation, mostly in the oral health area. The operation was done Wednesday morning and he is doing well through last night, talking and walking but still in pain. We were told to expect this. From my understanding, they did as you described to remove a section of the skull, enlarge the opening at the spine and on the C1 vertebra. He should be released on Sunday or Monday.
Thanks you for your wise counsel!
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