Can you diagnose this from MRI ? History is on screen Arnold–Chiari Malformation 1. investigation MRI brain and spine is the investigation of choice. MRI findings: Inferior herniation of cerebellar tonsils through foramen magnum Small posterior fossa Brainstem displacement Associated syringomyelia / syringobulbia In Chiari II: Herniation of cerebellum, medulla, and 4th ventricle Hydrocephalus Associated spinal dysraphism (myelomeningocele) 2. probable diagnosis Chiari malformation (Arnold–Chiari
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Arnold Chiari Malformation. In neurology, the Chiari malformation is a structural defect in the cerebellum, characterized by a downward displacement of one or both cerebellar tonsils through the foramen magnum. | Dr. Najeeb
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Most people with Chiari malformation don’t even know they have it…and when they finally get an MRI, they’re often told it’s “normal” or “not significant.” But that interpretation is often dangerously incomplete. I see it every week. Chiari malformation isn’t just about whether the cerebellar tonsils descend more than 5mm. That’s an outdated metric. It’s about what that descent is doing 👉 to your cerebrospinal fluid flow, brainstem, spinal cord, and autonomic nervous system. There are four main
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