What is the Relationship between Chiari I Malformation and Obesity? - Neurology & Neuroscience

 

As a pediatric neurosurgeon for forty years and more recently as  director  of  the  Chiari  Institute  on  Long  Island  New  York  I  have  been  treating  patients  of  all  ages  who  present  with  symptoms  related  to  a  mechanical  distortion  of  the  cerebellum  in  which  the cerebellar  tonsils  have  herniated  below  the  foramen  magnum.  Generally,  if  this  descent  of  the  cerebellar  tonsils  is  at  least  5  mm  the  condition  is  called  the  Chiari  I  malformation  (CM1).  The  nomenclature here is quite controversial and attempts to obtain a consensus on the definition of the term have been unsuccessful and frustrating.

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