New York City based City medical malpractice lawyer Jonathan C. Reiter sheds light on the medical misdiagnosis of Chiari malformations.
Chiari malformation occurs when the base of the skull is too small, or otherwise misshapen, leading part of the cerebellum to protrude through the opening at the base of the skull. Because the cerebellum is responsible for balance, posture, speech, movement, fine motor skills, and more, even the mildest forms of Chiari malformation can cause significant impairment.
Jonathan C. Reiter, a New York City medical malpractice attorney who has years of experience with Chiari malformation cases, provides a detailed explanation of the symptoms, diagnosis, treatment, and prognosis of Chiari malformation to aid public understanding of the condition.
Chiari malformation, as Mr. Reiter explains, is diagnosed in four types, with Type I considered the most mild and Type IV considered the most severe. These classifications are based on how much cerebellar tissue extends into the spinal canal. Signs of Chiari malformation can include speech abnormalities, abnormal eye movement, loss of balance, and stumbling, swaying, or other abnormal walking.
Type I Chiari malformation can be managed medically, although corrective surgery produces the best long-term outcomes. Types II and III must be treated surgically, while babies born with Type IV Chiari malformation rarely survive beyond infancy.
Chiari malformation is diagnosed using advanced imaging techniques such as MRI, as well as further tests such as analysis of cerebrospinal fluid movement patterns to rule out other potential causes of symptoms. All patients diagnosed with Chiari malformation should be offered corrective surgery to produce the best outcome. Missed or delayed diagnoses, or failure to offer adequate procedures, can have a major negative impact on a patient’s life.
“When a physician fails to properly diagnose Chiari I malformation, the patient’s symptoms may continue to progress and the chances of successful surgical management may become significantly diminished,” says Mr. Reiter. “In such a case, the physician may be held responsible for malpractice. Depending upon the severity of the patient’s injuries, damages may be assessed for pain, suffering, loss of enjoyment of life, loss of earnings and medical expenses.”
Read the full article on Chiari malformation misdiagnosis here.
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