Chiari malformations, cerebellar tissue through the foramen magnum into the cervical canal, may clinically present in categories of pain-occipital/cervical (worsened with valsalva, cough, sneeze, or exertion), complications of syringomyelia (scoliosis, myelopathy), direct brainstem compression (e.g. nystagmus, strabismus, emesis, imbalance, auditory, swallowing/aspiration, and central apnea), as well as incidental. Join Dr. Grabb and Transformational Pediatrics, as we discuss the relevant anatomy, discuss the pathophysiology of syrinx development, examine the different types of Chiari malformations and describe the classic clinical presentations for symptomatic Chiari 1 and 2 malformations.

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