Chiari Malformation and Surgical Options by Dr. Naba J. Borah in Guwahati
Chiari Malformation is a neurological condition where a portion of the cerebellum (called the cerebellar tonsils) descends through the opening at the base of the skull into the spinal canal. This can disrupt the flow of cerebrospinal fluid (CSF), compress nearby nerves, and result in a variety of symptoms—from chronic headaches to problems with balance and coordination.
If you’re in Guwahati, expert care is available with Dr. Naba J. Borah, Senior Consultant Neurosurgeon, offering specialized diagnosis and surgery for Chiari Malformation at Health City Hospital, Khanapara and evening OPD consultations at Medicity Aditya.
Types of Chiari Malformation
Chiari Malformations are classified into four types:
- Type I: The most common and treatable form. Often asymptomatic until adolescence or adulthood.
- Type II: Typically seen in children and associated with spina bifida.
- Types III & IV: Rare and more severe forms involving major structural defects in the brain.
Learn about other neurological conditions treated by Dr. Naba J. Borah.
Common Symptoms
Chiari Malformation can cause a wide range of symptoms:
- Persistent headaches (especially at the back of the head)
- Dizziness or vertigo
- Neck pain or stiffness
- Numbness or tingling in limbs
- Balance or coordination issues
- Swallowing difficulty
- Sleep apnea
If you notice a pattern of these symptoms, early consultation is crucial. Dr. Borah offers detailed evaluation and imaging at Health City Hospital.
Book an appointment with Dr. Naba J. Borah
Diagnosis and Evaluation in Guwahati
Advanced imaging like MRI scans is key to diagnosing Chiari Malformation. Dr. Naba J. Borah works closely with the radiology team at Health City to identify the degree of cerebellar herniation and plan precise treatment strategies.
When is Surgery Recommended?
Surgery is typically advised when:
- There is clear compression of the brainstem or spinal cord
- The normal flow of CSF is disrupted
- Symptoms become progressively disabling
Mild cases may only require non-surgical management, which Dr. Borah also provides.
Surgical Treatment Options by Dr. Naba J. Borah
Dr. Borah offers advanced surgical care for Chiari Malformation, including:
1. Posterior Fossa Decompression
This is the standard and most effective procedure. It involves:
- Removing a small portion of the skull at the back (suboccipital craniectomy)
- Sometimes removing part of the first cervical vertebra (C1 laminectomy)
- Performing duraplasty, where the dura (protective brain covering) is opened and expanded to allow better CSF flow
Learn more about the procedure from the American Association of Neurological Surgeons.
2. Cervical Laminectomy
Performed when additional decompression is required lower in the spine.
3. CSF Diversion (Shunt Placement)
In cases where syringomyelia (fluid-filled cavity in the spinal cord) is present, a shunt may be used to redirect excess CSF.
4. Spinal Fusion (Occipitocervical Fusion)
In rare cases with craniovertebral instability, Dr. Borah may recommend fusion surgery for long-term stabilization.
Recovery and Follow-Up
Most patients experience significant symptom relief after surgery. Recovery typically includes:
- 3–5 days of hospital stay
- Physical rest and limited activity for 4–6 weeks
- Follow-up MRIs and neurological assessments
- Optional post-operative rehabilitation guidance, if required
Dr. Naba J. Borah provides both surgical and post-operative care at Health City, while follow-ups and evening OPD visits can also be scheduled at Medicity Aditya.
Where Dr. Naba J. Borah Consults in Guwahati
- Health City Hospital, Khanapara, Guwahati – for diagnosis, surgery & inpatient care
- Medicity Aditya, Guwahati (Evening OPD) – for consultation, second opinions, and follow-ups
View Dr. Naba J. Borah’s full profile and expertise
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Final Thoughts
Chiari Malformation can be a life-limiting condition, but with timely diagnosis and expert surgical care from Dr. Naba J. Borah, many patients go on to lead healthy, symptom-free lives. If you or a loved one are showing signs of this condition, don’t delay—consult a specialist and explore treatment options available right here in Guwahati.