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Living with Chiari type I malformation

A condition in which the lower part of the brain sits too far down toward the spine, sometimes causing headaches and balance problems.

Understanding Chiari type I malformation

Chiari type I malformation is a condition in which part of the cerebellum, called the cerebellar tonsils, is pushed down too far below the skull.

It can cause headaches, neck pain, dizziness, and ringing in the ears. It can also cause vision problems, trouble swallowing, and problems with balance and coordination. Some people have no symptoms at all.

Signs & symptoms

Symptoms vary from person to person. GARD's summary lists these:

  • Headaches
  • Neck pain
  • Dizziness
  • Ringing in the ears
  • Vision problems
  • Trouble swallowing, balance, and coordination

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in DKK1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Bobby Jones Chiari & Syringomyelia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Bobby Jones Chiari & Syringomyelia Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Bobby Jones Chiari & Syringomyelia Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Do I have symptoms that need treatment, or can it be watched?
Which imaging tests should be done, and how often?
Could surgery help my symptoms?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesDKK1

Changes in the DKK1 gene are listed for this condition. GARD lists it as inherited in an autosomal dominant way, so one changed copy of the gene can cause it.

GeneticNeurological

Also known as: arnold chiari type 1; arnold chiari type i malformation; arnold-chiari malformation type 1; arnold-chiari malformation type i; arnold-chiari type i malformation; chiari 1 malformation

Patient organizations

Source: NIH GARD · Chiari type I malformationGARD ID 9233 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Chiari type I malformation.

Explore the Chiari type I malformation blog

Explore research for Chiari type I malformation

Explore actively recruiting Chiari type I malformation studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Chiari type I malformation with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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