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Arnold Chiari malformation

Arnold- Chiari malformations is a condition where there are structural defects in the lower part of the brain. In this condition, the small brain (cerebellum) gets displaced (herniation) downward through an opening at the base of the skull. This results in a disturbance in the normal flow of the fluid which circulates in the brain and the spine. (The fluid is called cerebrospinal fluid.)

This is a type 2 Chiari malformation that was named in the honor of Austrian pathologist Chiari and German pathologist Julius Arnold. Type 1 Chiari malformation is a deformity by birth which involves disorders of connective tissue.

Causes 

1) Idiopathic: The cause of its occurrence still remains unknown.

2) Congenital: Hydrocephalus (collection of fluid in the skull), vitamin D resistant rickets, neurofibromatosis type 1. It can run in families sometimes if children inherit a gene which causes problems with the skull development. The child may be asymptomatic in the initial years of his life but they may get evident later. However, there is a small risk of children inheriting this problem.

3) Acquired: Post-trauma (Whiplash injury to head)

- It is known that the traction force of a ligament in the tail of the spinal cord tries to create pressure on the spinal cord which pulls the cerebellum (small brain) downwards thereby also causing bending of the spinal cord (scoliosis).

Signs and Symptoms

It gives rise to many pressure symptoms as follows:

- Headaches 

- Dizziness

- Irregular eye movements (nystagmus)

- Facial pain

- Difficulty in swallowing

- Nausea, vomiting

- Fatigue, muscle weakness

- Neck pain

- Unsteady gait

- Difficulty in concentration

- Numbness and tingling in the feet

- Speech problems like hoarseness of voice

- Difficulty in hand coordination (fine motor skills affected)

Rare symptoms

- Tinnitus (ringing in ears)

- Abnormal breathing

 This defect can progress slowly or rapidly.

Diagnosis

MRI is considered to be the best way to diagnose this malformation. However, a good clinical history of the patient with the neurological examination is also important.

Diagnosis of the suspected malformation can be made through ultrasound before birth.

Exercise

There are some exercises that help therapeutically in Chiari malformation. Low impact exercises can be done after consulting your physician concerned. Some precautions like lifting heavy weights, brisk walking, swimming, cycling should be avoided.

Scope of homeopathy

It is important to know that homeopathy is not a substitute for surgery in such cases. It can only treat symptomatically up to a certain level. It cannot prevent the further progress of the disease since it is a malformation wherein the cerebellum can herniate at any level any time depending upon the patient’s lifestyle and nature of the activity. One can possibly delay surgery if the patient benefits symptomatically through homeopathy. At Life Force, we have little experience based on only two cases (as of November 2017) and the results are yet inconclusive.

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Retired 70 years old man residing in Mumbai (Patient identification number: 15767) was suffering from recurrent Varicose Ulcers since three years. He visited Life Force on April 2011 to start treatment under guidance of Dr Rajesh Shah MD.

Varicose U.....<a style='color:#8c451b;font-weight: bold;' href='casestudies.aspx?CS_ID=8317'>Read more</a> </div> </div> </div><div class='panel panel-default'><div class='panel-heading' role='tab' id='heading1'><h4 class='panel-title'><a class='collapsed' role='button' data-toggle='collapse' data-parent='#accordion2' href='#collapse1' aria-expanded='true' aria-controls='collapse1'>Case-13: Cervical pain and muscle spasm treated well with well selected Homeopathic medicines </a></h4></div><div id='collapse1' class='panel-collapse collapse' role='tabpanel' aria-labelledby='heading1' aria-expanded='true' style=''><div class='panel-body'><p>A robust lady, 44 years of age, Ms. D.N.D approached the clinic on 20 April 2011 with the complaints of cervical spondylitis.</p>

<p>Ms. D.N.D presented with sever pain and stiffness in the cervical region. Her X Ray showed changes suggestive of cervical spondylitis at the level of C5-C6 verte.....<a style='color:#8c451b;font-weight: bold;' href='casestudies.aspx?CS_ID=780'>Read more</a> </div> </div> </div><div class='panel panel-default'><div class='panel-heading' role='tab' id='heading2'><h4 class='panel-title'><a class='collapsed' role='button' data-toggle='collapse' data-parent='#accordion2' href='#collapse2' aria-expanded='true' aria-controls='collapse2'>This is the case which demonstrates that nail Lichen Planus is completely curable with homeopathy </a></h4></div><div id='collapse2' class='panel-collapse collapse' role='tabpanel' aria-labelledby='heading2' aria-expanded='true' style=''><div class='panel-body'><p>A 66 years old, Brazilian resident Mrs. N. R. P. (Patient Identification Number - 16094), availed our online treatment for her complaints of nails Lichen Planus on 2nd March 2009. She had observed these changes in her nails in the past six months. Around 70% of each nail was affected. The nails h.....<a style='color:#8c451b;font-weight: bold;' href='casestudies.aspx?CS_ID=472'>Read more</a> </div> </div> </div></div>
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