Learn about Chiari Malformation Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Chiari Malformation and request assistance for cost estimates or appointments.

About Chiari Malformation

Chiari malformation surgery is a specialized neurosurgical procedure performed to correct a structural defect at the base of the skull and upper spine. In this condition, part of the brain (the cerebellar tonsils) extends into the spinal canal, which can compress brain tissue and obstruct the flow of cerebrospinal fluid (CSF). The primary surgical goal is to create more space in the posterior fossa, relieving pressure on the brainstem and spinal cord. This is typically achieved through a procedure called posterior fossa decompression, which may involve removing a small section of bone from the skull and sometimes the top vertebra. In many cases, the surgeon also opens the dura (the brain's protective covering) and may patch it with a graft to further enlarge the space and restore normal CSF flow. This surgery aims to alleviate debilitating symptoms like severe headaches, neck pain, balance problems, and neurological deficits, significantly improving the patient's quality of life.

Key Highlights

    Alleviates pressure on the brainstem and spinal cord to relieve debilitating symptoms.Aims to restore normal cerebrospinal fluid (CSF) flow, potentially resolving associated syringomyelia.Can significantly improve quality of life by reducing chronic pain, headaches, and neurological deficits.Performed by highly specialized neurosurgeons using advanced techniques and often intraoperative monitoring.Offers a definitive treatment for symptomatic Chiari malformations that do not respond to conservative management.

Who is this surgery for?

  • Presence of a symptomatic Chiari Malformation Type I (most common) causing significant neurological impairment.
  • Severe, persistent headaches, often at the back of the head and worsened by coughing or straining (Valsalva-induced).
  • Neurological symptoms such as dizziness, vertigo, balance problems, muscle weakness, or numbness in the limbs.
  • Development of syringomyelia (a fluid-filled cyst within the spinal cord) secondary to the malformation.
  • Progressive symptoms that do not improve with conservative treatments like pain medication or physical therapy.
  • Evidence of significant compression of neural structures or obstructed CSF flow on MRI scans.

How to prepare

  • Comprehensive pre-operative evaluation including detailed neurological examination and high-resolution MRI of the brain and cervical spine.
  • Review of all current medications with the surgical team; discontinuation of blood thinners (e.g., aspirin, warfarin) as advised.
  • Pre-operative counseling with the neurosurgeon to discuss the procedure, goals, risks, and expected outcomes in detail.
  • Routine pre-surgical tests such as blood work, ECG, and chest X-ray to ensure fitness for anesthesia.
  • Fasting (no food or drink) for 8-12 hours prior to the scheduled surgery time.
  • Arranging for post-operative support and transportation, as the patient will not be able to drive for several weeks.

Risks & possible complications

  • General surgical risks: Reactions to anesthesia, infection, bleeding (hematoma), and blood clots.
  • CSF leak, which may require additional treatment or surgery to repair.
  • Meningitis (infection of the brain lining) or pseudomeningocele (collection of CSF under the skin).
  • Injury to surrounding neural structures, potentially leading to worsening of neurological symptoms, weakness, or sensory changes.
  • Persistent headaches or failure to relieve pre-operative symptoms.
  • Rare complications like stroke, brainstem injury, or instability of the cervical spine requiring fusion.

Recovery & hospital stay

  • Initial hospital stay for monitoring of neurological status, pain management, and observation for complications like CSF leak.
  • Head elevation is crucial to reduce swelling and pressure at the surgical site.
  • Avoidance of strenuous activities, heavy lifting (more than 5-10 lbs), and bending over for 4-6 weeks to allow healing.
  • Gradual return to light activities and walking; driving is typically restricted until cleared by the surgeon, often after several weeks.
  • Incision care: Keeping the wound clean and dry, watching for signs of infection (redness, swelling, discharge).
  • Follow-up appointments for stitch/staples removal and post-operative MRI to assess decompression and CSF flow.
  • Physical therapy may be recommended to address residual muscle weakness, balance issues, or neck stiffness.
  • checked Typical hospital stay: 4-7 days
  • checked Expected recovery time: 6-12 weeks

Frequently Asked Questions

If you are considering chiari malformation in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for chiari malformation compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India USD 2,719 – USD 6,526 4-7 days ~ 6-12 weeks Know More
Turkey USD 20,131 – USD 48,315 4-7 days ~ 6-12 weeks Know More

Top hospitals for Chiari Malformation in India

These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing chiari malformation.

Cytecare Hospital

  • IconBangalore, India
  • Icon48 Doctors

Manipal Hospital Siliguri

  • IconSiliguri, India
  • Icon30 Doctors

Manipal Hospital Salt Lake

  • IconKolkata, India
  • Icon129 Doctors

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
  • Icon55 Doctors

Manipal Hospital Dhakuria

  • IconKolkata, India
  • Icon200 Doctors

Miot Hospital Chennai

  • IconChennai, India
  • Icon250 Doctors

Manipal Hospital Ghaziabad

  • IconGhaziabad, India
  • Icon43 Doctors

SIMS Hospital Vadapalani

  • IconChennai, India
  • Icon71 Doctors

Manipal Hospital Mukundapur

  • IconKolkata, India
  • Icon145 Doctors

Medanta The Medicity

  • IconGurgaon, India
  • Icon900 Doctors

Nanavati Max Hospital

  • IconMumbai, India
  • Icon187 Doctors

Kamineni Hospital LB Nagar

  • IconHyderabad, India
  • Icon67 Doctors
PATIENT REVIEW

At my age, you worry about...

At my age, you worry about being a bother. Dr. Narayanamurthy never made me feel that way. He explained my medication changes slowly, and his manner was very calming. The clinic at MGM was busy, but he took his time.

Neurosurgeons for Chiari Malformation

Explore experienced neurosurgeons who regularly perform chiari malformation and provide pre- and post-operative care in India.

Dr. Paraneetharan M
  • 19 Years Experience
  • Neurosurgeon
Speaks: English, Tamil, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai

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Dr. Harisha P N
  • 23 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur

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Dr. Anmol Nagaraj
  • 14 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur

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Dr. Lakshman I Kongwad
  • 11 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur

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Dr. Harish
  • 10 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur

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Dr. Vybhav Raghu
  • 10 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur

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Dr. Veeresha U Mathad
  • 12 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

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Dr. Ajay Hegde
  • 10 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

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Dr. Abhishek H R
  • 9 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

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Dr. Harsha Hegde
  • 9 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

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Dr. Paritosh Pandey
  • 22 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield

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Dr. Bopanna Km
  • 30 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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Dr. Paritosh Pandey
  • 22 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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Dr. Sathwik R Shetty
  • 20 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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Dr. Praveen Ganigi
  • 21 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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Dr. Arun Bhandari
  • 18 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala

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Dr. Jaskaran Singh
  • 14 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala

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Dr. Maqsood Ahmed Abdul Rahman
  • 18 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore

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Dr. Sudheer Kumar Gundamaneni
  • 16 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada

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Dr. Vuppu Ravi Kanth
  • 15 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada

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