How is Chiari malformation with syringomyelia treated?
Disease description:
Long-term dizziness, headaches, and even episodes of fainting have occurred. After visiting the hospital for examination, it was diagnosed as Chiari malformation with syringomyelia. How can it be treated?
Doctor's answer (1)
Dr. Lv Zhiqin
Specific treatment methods for cerebellar tonsillar herniation complicated with syringomyelia:
1. Surgical treatment: Commonly used procedures include posterior fossa decompression, syringoperitoneal shunting, and filum terminale sectioning. These surgeries aim to expand the volume of the posterior fossa, relieve pressure from the cerebellar tonsils on the spinal cord, and restore normal cerebrospinal fluid circulation, thereby improving symptoms of syringomyelia. In cases where the cerebellar tonsillar herniation is severe or adhesions are extensive, partial resection of the cerebellar tonsils may be required.
2. Endoscopic treatment: For patients whose general condition does not permit traditional surgery, endoscopic treatment may be considered. This treatment approach involves puncturing through the gums inside the oral cavity to remove the herniated sac, offering advantages of minimal invasiveness and faster recovery.
3. Radiation therapy: For certain patients, radiation therapy can also be an option. By delivering a controlled dose of X-rays, the herniated sac can be reduced or completely eliminated, avoiding the risks associated with surgery.
4. Adjunctive therapies: Before or after surgery, complementary treatments such as traditional Chinese medicine, acupuncture, and physical therapy may be used to help relieve pain, promote blood circulation, reduce inflammation, and improve overall condition.
During the treatment process, patients should follow medical advice and undergo regular follow-up examinations.
