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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness And Black Outs After A Chiari Malformation Surgery?

I had a surgery for a chiari malformation type 1 about two years ago with in a couple of weeks I started having dizzy spells and then blackouts which I had 4 total. After that the tremors started and have not stop and I had to have a dbs put in but still have not helped. What could of happen?
Fri, 28 Apr 2017
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Orthopaedic Surgeon,  's  Response
The blackouts and tremors could be because of csf fluid leakage.Cerebrospinal fluid (CSF) leakage is the escape of CSF that flows around the brain. This usually takes the form of a squishy pocket of fluid or drainage from the incision. If leakage is suspected, apply a pressure dressing over the incision and contact the surgeon immediately. If the leak continues, surgical repair may be necessary. New closure techniques and use of biologic glue greatly reduces the risk of CSF leak.

The other explanation is that there is a risk of pseudomeningocele, an abnormal collection of cerebrospinal fluid (CSF) under the tissues of the neck. The collection may resolve on its own; however notify your surgeon if this occurs.
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What Causes Dizziness And Black Outs After A Chiari Malformation Surgery?

The blackouts and tremors could be because of csf fluid leakage.Cerebrospinal fluid (CSF) leakage is the escape of CSF that flows around the brain. This usually takes the form of a squishy pocket of fluid or drainage from the incision. If leakage is suspected, apply a pressure dressing over the incision and contact the surgeon immediately. If the leak continues, surgical repair may be necessary. New closure techniques and use of biologic glue greatly reduces the risk of CSF leak. The other explanation is that there is a risk of pseudomeningocele, an abnormal collection of cerebrospinal fluid (CSF) under the tissues of the neck. The collection may resolve on its own; however notify your surgeon if this occurs.