Chiari Malformation Treatment in Sugar Land, TX
Expert Diagnosis and Surgical Care by Dr. Rajesh Bindal
Chiari Malformation is a structural abnormality in the lower part of the brain—specifically the cerebellum, which controls coordination and balance. In this condition, the cerebellum extends downward through the foramen magnum, the natural opening at the base of the skull where the spinal cord begins. This downward displacement can compress the brainstem and obstruct the flow of cerebrospinal fluid (CSF), potentially causing a range of neurological symptoms.
At Texas Spine & Neurosurgery in Sugar Land, Dr. Rajesh Bindal, a board-certified neurosurgeon, provides comprehensive care for patients with Chiari Malformation, including advanced surgical treatment when necessary.
What Causes Chiari Malformation?
Chiari Malformations typically result from a smaller-than-normal space in the skull for the cerebellum, forcing brain tissue downward into the spinal canal. This added pressure can affect functions controlled by the cerebellum and brainstem, and disrupt the normal circulation of CSF between the brain and spinal cord.
Symptoms of Chiari Malformation
Many people with Chiari Malformation are asymptomatic and unaware they have the condition. However, when symptoms appear, they can include:
- Headaches, especially with coughing, sneezing, or straining
- Neck pain
- Numbness, tingling, or weakness in the arms or legs
- Loss of pain and temperature sensation
- Balance or coordination problems
- Dizziness and visual disturbances
- Difficulty swallowing or speaking
- Spasticity or stiffness in the legs
- Hand coordination problems or changes in handwriting
- Tinnitus (ringing in the ears)
- Nausea or vomiting
If symptoms are present, early evaluation is essential to prevent worsening neurological damage.
Diagnosing Chiari Malformation
Magnetic resonance imaging (MRI)Â is the gold standard for diagnosing Chiari Malformation. Dr. Bindal will evaluate your imaging results alongside a detailed neurological exam and medical history to determine the best course of treatment.
When Is Surgery Needed?
Asymptomatic patients may not require surgery but should be monitored periodically.
Symptomatic patients—especially those with progressive neurological deficits—typically require surgery to relieve pressure on the brain and restore CSF flow.
Unfortunately, medications cannot correct Chiari Malformation. Surgery is the only effective treatment for those with moderate to severe symptoms.
Chiari Malformation Surgery
Chiari decompression surgery is a highly specialized neurosurgical procedure that creates more room for the cerebellum and restores normal fluid dynamics. Dr. Rajesh Bindal performs the surgery using the following steps:
- An incision is made at the base of the skull, and a portion of the bone is removed to enlarge the foramen magnum.
- A laminectomy of the first cervical vertebra (C1) is often performed to provide further space.
- The dura, the protective membrane surrounding the brain and spinal cord, is opened and expanded with a duraplasty (a graft that increases space and improves CSF flow).
- This procedure relieves compression, halts the progression of symptoms, and allows for natural healing of the nervous system.
Surgical Success Rate
Chiari Malformation surgery performed by Dr. Bindal has an excellent success rate. Most patients experience:
- Significant symptom relief
- Improved neurological function
- Stabilization or reversal of disease progression
While every surgery carries risks, complications are rare, and long-term outcomes are highly favorable when performed by an experienced neurosurgeon.
Chiari Malformation Specialist in Sugar Land, TX
If you or a loved one is experiencing symptoms of Chiari Malformation or has been diagnosed through imaging, Dr. Rajesh Bindal offers compassionate, comprehensive care to guide you through diagnosis, treatment, and recovery.
Call 281-313-0031 today to schedule your consultation at Texas Spine & Neurosurgery in Sugar Land, TX.