Chiari malformation

Also called Arnold-Chiari malformation or Tonsillar ectopia

A Chiari malformation is when the lower part of the brain, the cerebellum, extends down through the opening at the base of the skull into the spinal canal. It is usually present from birth. Many people have no symptoms and find out by chance on a scan, while others get headaches and other symptoms.

Last updated Nov 9, 2026

What it is

It can block the flow of fluid around the brain and spinal cord, and sometimes a fluid-filled cavity forms in the spinal cord (syringomyelia).

If there are no symptoms, no treatment is usually needed. Surgery to make more space at the back of the skull may be offered if symptoms are significant.

Common signs

  • Headaches at the back of the head, often brought on by coughing or straining
  • Neck pain
  • Dizziness and balance problems
  • Numbness or tingling in the hands
  • Difficulty swallowing

How it is usually diagnosed

  • MRI scan of the brain and spine

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • MRI reports, including measurements
  • Neurosurgery letters
  • Operation notes, if any

Questions to ask your doctor

  • Are my symptoms caused by the Chiari malformation?
  • Is there a syrinx in the spinal cord?
  • Would surgery help, and what are the risks?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Sudden severe headache, new weakness, difficulty breathing or swallowing: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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