Instability in Chiari I Malformation and EDS

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In his lecture, Dr. Paolo Bolognese explores the complexities of diagnosing and treating Chiari I malformation, emphasizing that not every case that looks like Chiari is true Chiari—and that successful treatment requires looking beyond the initial diagnosis.
Dr. Bolognese introduces four important concepts: true Chiari, false Chiari, Chiari plus, and failed Chiari. He discusses how associated conditions, including craniocervical instability and connective tissue disorders such as Ehlers-Danlos syndrome, can contribute to complex symptoms and challenging treatment decisions.

A central focus of the lecture is the relationship between Chiari decompression and craniocervical instability, particularly when both conditions coexist. Dr. Bolognese describes innovative surgical approaches designed to address these challenges while improving outcomes for patients with complex Chiari.

Ultimately, the lecture highlights the importance of accurate diagnosis, recognizing associated conditions, individualized treatment, and understanding that treating Chiari may sometimes require addressing more than one underlying problem.

This lecture was presented on August 8th at Northeastern University. (2026)

This lecture was presented at the Chiari Research Open House at Northeastern University on August 8th. (2026)

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