Recognizing Chiari Malformation In Babies

“Chiari malformations, types I-IV, refer to a spectrum of congenital hindbrain abnormalities affecting the structural relationships between the cerebellum, brainstem, the upper cervical cord, and the bony cranial base,” wrote Peyman Pakzaban, MD.

 

The symptoms of Chari Malformation in adults are difficult to notice since they do not necessarily occur. How much more of a challenge it is in babies? However, given it can be congenital or present at birth, diagnosis can be as early as infancy.

 

According to Mark Luciano, MD, PhD, Bryn Martin, PhD, Phil Allen, PhD, and Francis Loth, PhD, “While Chiari crowding may occur in 1 to 3 percent of the population, symptoms may occur in only 0.06 percent.”

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It may be challenging to say if there is something we should concern ourselves as parents about our baby’s behavior. They are after all hard to understand as they may throw a tantrum from time to time. They are also prone to getting illnesses such as flu, fever, and other infections. So how do we know if what we see is already serious?

 

What Are The Signs of Chiari Malformation In Babies?

 

 

 1. Misshaping Of The Skull 

 

 

Chiari malformation may be congenital and hereditary, and its symptoms may begin to show during infancy while your baby develops. The obstruction and accumulation of cerebrospinal fluid in the brain cause pressure and can then change the shape of the skull entirely.

 

 

 2. Minimal Cognitive Function

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Cognition includes our ability to comprehend, concentrate, and remember. When your baby is behind his cognitive developmental milestones, especially when he becomes a toddler, it could be a sign of Chiari malformation. It may also include poor communication and use of words.

 

 

3. Choking

 

 

Difficulty swallowing is alarming already, and it could worsen as it could be a sign of Chiari malformation. There are times when your baby has problem eating or drinking as if he is choking or something is obstructing his esophagus

 

 

4. Bone Defects

 

 

Chiari malformation has a direct effect on the spine, but it also affects the surrounding structures. It could appear as if the bone is too thin and weak to support the body. 

 

 

5. Premature Spine

 

 

Having a premature spine is normal for babies since they are still developing. There is a condition called infantile scoliosis which could very much be a sign of Chiari.  It could begin due to the misshaping of the skull.

 

 

6. Spasticity

 

 

Spasticity or the sudden involuntary movement of the muscles can also be a sign of Chiari. For instance, your baby would suddenly move his head or his extremities, and it seemed to be beyond his control.

 

 

7. Vision Problem

 

 

You might notice an involuntary eye movement, and there is a noticeable difficulty following objects. Infants should be responsive to their surroundings, but if they seem to be not responding to actions and lights, it could be a sign of Chiari.

 

 

8. Breathing Problem

 

 

Difficulty breathing especially when sleeping or sleep apnea could also be a sign of Chiari. You notice the abnormal breathing pattern and the constant grasping of air.

 

 

9. Ear Problem

 

 

Tinnitus or ringing in the ears could also be a sign of Chiari since it is a condition that starts in the brain. It could affect the senses including hearing since the ears are near the base of the skull.

 

 

10. Trouble sleeping

 

 

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Babies have variation in their sleeping patterns like when they tend to stay awake when we expect them to be all tired and sleepy. They may have trouble sleeping at times caused by discomfort. In Chiari, it frequently happens, and your baby seems not to sleep anymore.

 

Chiari malformation can affect anyone, and though its symptoms are quite tricky to see as they may seem typical, when they happen or occur altogether, it could be a sign that you may need to visit a doctor to find out for sure.

 

 It may seem as if Chiari malformation does not pose a threat, and it is not fatal, so there is a chance that parents wouldn’t bother to pay close attention to it. However, this condition can eventually affect a person’s way of functioning, hindering a smooth and happy life. It is imperative that as parents, we are aware and vigilant about the matters surrounding our baby’s health.

 

Jeffrey W. Campbell, MD, reminds parents, “Many kids with Chiari I malformation do not have symptoms and never need treatment. But call your doctor right away if your child does show any symptoms, such as headache, balance or coordination problems, changes in pee or poop habits, or voice changes.”

Arnold Chiari Malformation, Diabetes Mellitus, And Vertigo: Which Is Which?

It is difficult to confirm whether you have Chiari malformation or not because its symptoms are common among many diseases such as diabetes and vertigo. The only way you can find out for sure is to consult your health care provider as you have to undergo some tests including MRI or a CT scan.

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Arnold Chiari malformation and vertigo are diseases affecting the brain while diabetes is a chronic disease affecting the whole body. These three should be dealt with caution since they are directly distressing balance and other essential functions for daily life.

 

What Are Arnold Chiari Malformation, Diabetes Mellitus, And Vertigo And Their Symptoms?

 

What Is Arnold Chiari Malformation?

 

Arnold Chiari Malformation is a structural abnormality of the brain particularly the cerebellum which controls coordination, balance, and motion. It is at the base of the skull, and in Chiari malformation, it extends into the spinal canal. It causes pressure on the brainstem and spinal cord, obstructing the flow of spinal fluid.

 

Symptoms Of Chiari Malformation I:

 

  • Headache 
  • Occipital headache (worsened pressure like coughing and sneezing)
  • Neck pain
  • Numbness of upper extremities
  • Weakness or Loss of strength in the extremities
  • Dizziness
  • Loss of balance
  • Vision problems
  • Hypersensitivity to bright lights
  • Sleep apnea

 

Signs and symptoms of Chiari Malformation I may not occur, but when they do, they can appear or manifest alone or along with the others. According to Ryan W Y Lee MD, “Chiari type 1 refers to herniation of the cerebellar tonsils alone, and radiologically as simple tonsillar herniation 5 mm or greater below the foramen magnum.”

 

Symptoms Of Chiari Malformation II:

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  • Involuntary downward eye movements
  • Weakness in the upper extremities
  • Breathing problem
  • Gag reflex problem

 

Signs and symptoms of Chiari Malformation II may come from issues related to myelomeningocele or hydrocephalus.

 

What Is Diabetes Mellitus?

 

Diabetes mellitus is a disease that affects the body’s ability to use the energy from food properly. It is when the pancreas is unable to produce enough insulin or none at all. It is a problem since insulin is a hormone that helps the body convert sugar to energy. “Early symptoms are related to hyperglycemia and include polydipsia, polyphagia, polyuria, and blurred vision,” Erika F. Brutsaert , MD notes.

 

Symptoms Of Diabetes Mellitus:

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  • Increased thirst
  • Increased hunger
  • Dry mouth
  • Urinary frequency
  • Weight loss
  • Weakness
  • Vision problems
  • Numbness or tingling in the extremities
  • Delayed healing of wounds
  • Dry skin 
  • Itchy skin 
  • Persistent yeast infections

 

What Is Vertigo?

 

Vertigo is the feeling of losing balance when standing up or walking. There is also the sensation that makes you feel like you or your surrounding is spinning. It can be from a problem in the ear where there is calcium formation in the canal of the inner ear called canaliths.

“Persons with Chiari may develop vertigo after spending some time with their head inclined on their trunk. Thus the Chiari can cause cervical vertigo,” Timothy C. Hain, MD wrote.

 

Symptoms Of Vertigo:

 

  • Ringing in the ears 
  • Spinning sensation
  • Tilting
  • Swaying sensation
  • Loss of balance
  • Pulled to one direction
  • Headache
  • Involuntary eye movements
  • Nausea
  • Vomiting
  • Sweating

 

Arnold Chiari malformation, diabetes mellitus, and vertigo have similar symptoms, and though they may appear to be simple, they will eventually affect how you function since they can cause loss of balance, weakness, and others which are hindrances to completing daily tasks.

 

Doing a self-treatment is a tremendous risk since early diagnosis is crucial in managing diseases. You need to consult a doctor right away to find out for sure, especially there are series of tests that need to be undertaken to rule out the other conditions. People are often scared to know the diagnosis, but they should be more afraid when they do not get the appropriate treatment early on because their situation could worsen.

 

It will help if you treat your body as an ally. It shows symptoms to ask you for help that it needs thorough attention. You must take care of it and get treatment for even a headache. Your feeling should always be great, and if you feel otherwise, going to the doctor is a treat that you shouldn’t be depriving yourself.

 

I Found Out I Have Chiari Malformation: Wait, What?

I am on my mid-30s, and as of this age, we are all expecting to have a little weirdness in our body. However, mine was a little too extreme for me. I came to the point where I suspect myself of dying from cancer. I thought of several diseases that could be causing the suffering I am feeling.

For over ten years, I was working as an executive secretary, working in front of a computer all day, doing all tasks and errands from the bosses. I was experiencing overwhelming stress, and I thought this contributed to the way I was feeling lately.

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For the past year, I was feeling weak, having headaches and vision problems which were understandable given the nature of my job. I went to see an ophthalmologist, and I had my first eyeglasses. He said my eye problem could probably be due to my exposure to radiation, looking all day in a monitor.

 

At first, the eyeglasses helped. I had fewer headaches than before, but eventually, my condition worsened. I had funny gait. My colleagues would often comment that I walk like a drunk person, and would often tease me, “It’s too early for a drink!”

 

There were times I had stuttering and neck pain, and I thought I was having a stroke. I looked up on the internet regarding my symptoms, and I suspected my condition to be diabetes or vertigo. It was tormenting not to know what exactly I was experiencing, but then, I was too much of a coward to find out. I was afraid that the doctor might say I only have a few months to live.

 

Then one day, the beginning of the revelation of my life happened. I was as usual busy at work when I decided to get some coffee because I was feeling sleepy and lazy. On my way to the pantry, I felt dizzy and lost my balance. It was a good thing the glass wall at my senior’s office caught me. I couldn’t stand up for a while, and one of my colleagues saw me sitting on the floor. She called for help, and I was rushed into the clinic. The nurse said I needed to see the doctor as soon as possible. My condition could be nothing, but it could also be something, so I better find out.

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The next day, I got a day off, and I went to see the doctor. I was hesitant, but I did it to free myself from the fear of knowing my condition. He reviewed my medical history and my symptoms. He also conducted a physical examination and requested that I get an MRI or magnetic resonance imaging. It is a test to diagnose Chiari malformation. It uses radio waves and magnets to resemble the body and creates 3-D images of physical oddities inside the brain that could mean an illness like the Chari malformation where the cerebellum extends into the spinal canal.

 

At last, the result came, and I was positive for Arnold Chiari malformation type 1. I mean, what? He said this type of condition could only manifest during late childhood or even adulthood which what happened to me. He also said that since my case was not severe, I will only be under medications and not a surgery where they need to eliminate a part of the bone at the back of the skull and to take away the pressure in the brain caused by the extension of tissues into the spinal canal.

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Having Chiari malformation made me incompetent in my job as I couldn’t move much like how I used to, and the simple task of getting documents from another department became a challenge for me. I realized that we should never ignore any symptom, that anything we experience outside of the normal is worth a visit to the doctor’s clinic. Now, I can sleep well, and all it took was a confirmation that I’m going to be okay.