Chiari Malformation in New York, NY
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Contact UsWhat is a Chiari malformation?
Chiari malformations are congenital defects where the lower part of your brain, specifically the cerebellum that controls balance, presses through an opening in the base of the skull into the spinal canal. Typically, the cerebellum and parts of the brain stem sit above this opening called the foramen magnum, allowing the spinal cord to pass through. When part of the cerebellum extends below this opening into the upper spinal canal, it is classified as a Chiari malformation. This abnormality may develop if the skull is smaller than normal or misshapen, consequently pressing on the brain and forcing the cerebellum into the spinal canal. The resulting pressure on the brain stem and spinal cord can obstruct the flow of cerebrospinal fluid, the clear liquid that surrounds and cushions the brain and spinal cord. Understanding and addressing these malformations are vital for maintaining neurological health in the affected area. For more information about Chiari malformations and treatment options, contact Dr. Raymond Sekula at The Neurological Institute of New York in New York, NY.
How Is Chiari Malformation Diagnosed?
Chiari malformation is typically diagnosed through a combination of a thorough neurological exam and imaging tests. During the neurological exam, a doctor assesses the patient's symptoms, such as headaches, balance problems, and muscle weakness, which may point to potential nerve compression or other related issues. Magnetic resonance imaging (MRI) is the primary tool used to visualize the brain and spinal cord, providing detailed images of the cerebellum, brainstem, and surrounding structures to help detect any abnormalities, such as the downward displacement of the cerebellar tonsils. In some cases, computed tomography (CT) scans may also be used to assess bone abnormalities or the structure of the skull. Diagnostic procedures often also include tests like a cine MRI, which can show the flow of cerebrospinal fluid around the brain and spine, helping to identify blockages or pressure changes caused by the malformation.
How Is Chiari Malformation Treated?
Dr. Sekula offers a unique and highly effective treatment option for Chiari malformation that sets him apart from other providers. For suitable candidates, Dr. Sekula specializes in minimally invasive suboccipital decompression, C1 laminectomy, and expansile allograft duraplasty through a one-inch incision utilizing intraoperative monitoring, including somatosensory evoked potentials. These procedures result in less surgical trauma, shorter hospital stays, and quicker recovery times.
It's important to consult with Dr. Sekula to determine if you're an ideal candidate for suboccipital decompression surgery. Factors such as the severity of your symptoms, your overall health, and previous medical history will be considered. Personalized treatment plans are formulated to address each patient's unique needs.
Dr. Raymond Sekula Reviews
Dr. Sekula is AMAZING! I had surgery 13 years ago for a Chiari Malformation. I have had so much relief even 13 yrs. later. He is very kind, caring, and an extremely talented Dr. I highly recommend him!
He is the best!!!! Had surgery for Chiari Malformation and I was bad but he Dr.Sekula made me a new person. He did an awesome job. I only have a small cut and its been about 2 months with no recurring symptoms. He is my angel. I was at so many drs. Thank You Dr. Sekula.
Dr. Sekula is an amazing doctor. I was seen by 14 different doctors and each told me my symptoms were stress related. My family doctor ordered an MRI and found that I had a chiari malformation. 7 years ago I went to Dr. Sekula and he was wonderful. I only had a 1 inch incision and was in the hospital 1 night. I would highly recommend him! He has excellent bedside manner and truly cares about his patients.
Dr. Sekula, It’s now been 11 weeks since my MVD surgery….to say that it has changed my life is an understatement at best. Suffering with this affliction for 4 years had been devastating. When I found out you were moving to NYC, I knew it was meant to be that I would have my MVD surgery with you. As your very first patient at Columbia with my January 2022 virtual appointment, I promised to send before and after photos as you requested! I finally feel emotionally ready to do so. Hitting the jackpot with 2 disorders, HFS and Chiari malformation meant there was a possibility that surgery would have to be stopped if there was no room for you to reach the offending nerve/blood vessel compression causing my Hemifacial Spasm. Thankfully, because of you, that was not the case, and surgery was successfully completed. It’s actually hard now to remember the spasms as I have not had a single one since I woke up post surgery. It wasn’t until 4 AM the morning after my surgery that I realized my face was “quiet”, the best feeling ever. Thank you for changing my life with this surgery, it is such a joy to be able to smile again and look people in the eye without worrying about my face. I feel so very fortunate to have found you and even happier that you moved to NYC, so close to where I live! With warmest regards, S.G.
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Explore Effective Treatment Options for Chiari Malformations
If your child has been diagnosed with Chiari malformations, or if you notice symptoms that concern you, don't wait to seek professional medical advice. Dr. Raymond Sekula can provide comprehensive care tailored to your child's unique needs at his office in The Neurological Institute of New York. Understanding and addressing Chiari malformations is vital for preserving neurological health, and the proper treatment can significantly improve quality of life. Reach out to Dr. Sekula's practice today to schedule a consultation.
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About UsChiari Malformation FAQs
How does Chiari malformation affect daily life?
Chiari malformation can significantly impact daily life, depending on the severity of symptoms. Individuals may struggle with chronic pain, which can interfere with work, school, and recreational activities. Balance and coordination issues may make it difficult to perform everyday tasks, such as walking or using fine motor skills. Fatigue and cognitive difficulties can also affect concentration and productivity. Adapting to these challenges often requires a multidisciplinary approach, including medical treatment, physical therapy, and support from family and friends.
What is the prognosis for someone with Chiari malformation?
The prognosis for Chiari malformation varies depending on the severity of the condition and the effectiveness of treatment. Some individuals with mild Chiari malformation may experience minimal symptoms and lead relatively normal lives without the need for intervention. For those with more severe symptoms, surgical treatment can provide significant relief, although some symptoms may persist or recur. Regular follow-ups are essential to monitor the condition and manage any complications that arise.
Are there any associated conditions with Chiari malformation?
Chiari malformation is often associated with other conditions, such as syringomyelia and hydrocephalus. It can also co-occur with connective tissue disorders like Ehlers-Danlos syndrome, which affects the body's collagen production, leading to joint hypermobility and skin fragility. Spina bifida, a congenital disorder where the spinal column does not close completely, is another condition that can be linked to Chiari malformation. Identifying and managing these associated conditions is crucial for comprehensive patient care.