Outstanding Chiari malformation care at NSPC. Our renowned neurosurgical experts offer leading-edge techniques to diagnose and treat Chiari malformations and Chiari-related disorders. Our specialists continue to stay at the forefront of Chiari research and surgical procedures to offer patients the most modern and safest techniques possible.
Our neurosurgery team of highly qualified doctors including neuropsychologists, neurophysiologists, and other specialty surgeons treat Chiari malformations and related conditions:
Chiari Simple: tonsillar herniation with a small posterior fossa
Chiari Plus: Chiari malformation, Type I with comorbidity (another chronic condition or disease) such as
Chiari Redux: failed CMI surgery
Recent advancements and continued research have led to a range of options when treating Chiari malformations. No one single technique works for everyone. The surgeon and patient need to work together to determine the best approach. Dr. Bolognese performs 200 CMI (Chiari Malformation, Type I) or CMI-related pathologies each year, including Posterior Fossa Decompressions and Posterior Fossa Revisions.
Simple Chiari Malformation Treatment
Surgical Management of Complex Chiari Malformations
The surgical approaches for treating Chiari that also involve cranial cervical instability or abnormal anatomy of the craniocervical junction are more complex: Posterior Fossa Decompression (PFD) and a Craniocervical Fusion (CCF) with Transoral Odontoidectomy, if necessary. The use of heftier screws in the occipital condyles reduces the need for 4-5 inches of clunky hardware attached to thin bone and instead is a 1.25 inch of stronger hardware attached to a much thicker bone.
World-class Chiari treatment, close by. Staffed by physicians of multiple specialties, NSPC has developed to meet the needs of a wider patient population. Thanks to our locations throughout the greater tri-state area, more patients have access to comprehensive, collaborative quality care.
PART I: Discovery, Definition and Classification of Chiari Malformations
PART II: Modern Classification and Subclassification of Chiari Malformations
PART III: Trends & History of Surgery for Chiari Malformations
PART IV: Surgical Techniques Chiari Malformations