Chiari type 1 deformity treatment

It is important to be aware of a variety of different Chiari type 1 deformity outcome, including spontaneous resolution, spontaneous worsening, improvement with surgery, and even deterioration after surgery. More research is required to determine objective criteria for predicting outcomes, which include both anatomic measures and physiologic measures of CSF flow so that better surgical decisions can be made and for evaluating patients who have undergone surgery 1).


Preliminary findings indicate that exercise programs can improve pain, balance, proprioception, posture, coordination, and quality of life in CM type 1. Therefore, exercise should be considered a safe, beneficial, and low-cost treatment option for CM type 1 patients without surgical indications 2).


1)
Venkatakrishna SSB, McClure ME, Andronikou S. Natural History of Chiari 1 Deformity. J Comput Assist Tomogr. 2022 Dec 29. doi: 10.1097/RCT.0000000000001404. Epub ahead of print. PMID: 36728736.
2)
Türkmen C, Köse N, Bal E, Bilgin S, Çetin H, Zengin HY, Gümeler E, Mut M. Effects of Two Exercise Regimes on Patients with Chiari Malformation Type 1: a Randomized Controlled Trial. Cerebellum. 2022 Mar 24. doi: 10.1007/s12311-022-01397-1. Epub ahead of print. PMID: 35325392.
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