Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
Chiari malformation
Structural defects in the base of the skull and cerebellum. A congenital neurological condition that can cause neurological problems including balance.
What is a chiari malformation?
Chiari malformation is a condition where brain tissue extends into the spinal canal. This happens when there is a mismatch between the size of brain tissue and the brain cavity, so the tissue is pushed downwards into the spinal canal. This can put pressure on the brainstem and spinal cord, sometimes resulting in the formation of a cyst within the spine.
Need to know
Many people with a Chiari malformation have no signs or symptoms so the condition often goes unnoticed. However, symptoms can occur depending on type and severity of the Chiari malformation:
Chiari I: Usually becomes apparent in late childhood/early adulthood. Symptoms can include coughing, headaches and balance problems.If associated with a spinal cyst (syringomyelia), it can also cause poor hand coordination, difficulty walking and difficulty swallowing (syringobulbia).
Chiari II: Always related to an open spina bifida. Symptoms can include changes in breathing, swallowing problems, quick downward eye movements and arm weakness.
Chiari I: Usually becomes apparent in late childhood/early adulthood. Symptoms can include coughing, headaches and balance problems.If associated with a spinal cyst (syringomyelia), it can also cause poor hand coordination, difficulty walking and difficulty swallowing (syringobulbia).
Chiari II: Always related to an open spina bifida. Symptoms can include changes in breathing, swallowing problems, quick downward eye movements and arm weakness.
As Chiari malformations have few symptoms, they are often discovered during physical examinations. They may show up on the following tests:
If the Chiairi malformation is causing you headaches and pressing on your spinal cord, your consultant may recommend medication or decompression surgery.
Your surgeon will make a cut at the back of your head and then remove a piece of bone removed from the base of your skull. Normally the arch of the first vertebra (C1) is also removed. The bony decompression between the occiput and the C1 vertebra allows the tough outer covering of the brain and spine (dura) to be opened, creating more space for the abnormally-located brain tissue.
Your surgeon will make a cut at the back of your head and then remove a piece of bone removed from the base of your skull. Normally the arch of the first vertebra (C1) is also removed. The bony decompression between the occiput and the C1 vertebra allows the tough outer covering of the brain and spine (dura) to be opened, creating more space for the abnormally-located brain tissue.
Patient stories
Yvette's story: From back pain to hip replacement surgery
A new hip and straight back into the spin of things
David’s gym video shows him repeatedly pushing up to 100kg on a single leg press – not particularly unusual for this keen cyclist, former competitive squash player and all-round fitness enthusiast. What is unusual is that 52-year-old David had hip surgery just 12 weeks earlier.
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.