A Clear Guide to Chiari Malformation
Expert Management for Chiari Malformation
Headaches, dizziness, or balance issues with neck pain? Chiari malformation symptoms are common and often manageable, not usually a sign of something acutely serious. At Harley AVM, we address vestibular effects effectively. Seek urgent AVM care for severe headaches, swallowing difficulty, weakness, or vision changes, as these require immediate evaluation.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Structural Brain–Spine Junction Abnormality
An Overview of Chiari Malformation
Chiari malformation is a structural condition where parts of the brain, usually the cerebellar tonsils, extend downward into the upper spinal canal. This displacement can crowd the junction between the brain and spine, altering the normal flow of cerebrospinal fluid and affecting balance, coordination, and neurological function.
Symptoms vary widely and may include dizziness, unsteadiness, headache, neck pain, visual disturbance, or coordination difficulty. Some people remain asymptomatic, while others develop progressive issues over time. Because features can overlap with vestibular disorders, careful clinical assessment is important. Accurate identification focuses on understanding symptom patterns and structural findings to guide appropriate monitoring or referral.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 107 reviews Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Google Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Google Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Google Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Google Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!
Pinpointing the Cause
Diagnosing Chiari Malformation
When to Get Checked
You should get assessed if persistent dizziness, imbalance, headaches, or neck pain worsen with coughing, straining, or changes in posture. Progressive coordination difficulty, visual disturbance, or unexplained neurological symptoms should prompt expert review.
You should seek urgent assessment if symptoms escalate rapidly or include weakness, numbness, difficulty swallowing, speech changes, severe headache, or problems walking safely. Early evaluation helps distinguish Chiari malformation from other neurological or vestibular causes and guides timely referral.
How We Assess Chiari Malformation
At Harley Audiovestibular Clinic, our process starts with evaluating your detailed history, exploring headache patterns, dizziness, balance issues, neck pain, tinnitus, and neurological symptoms to identify Chiari malformation effects on vestibular and auditory systems. We prioritise unhurried consultations with our consultants, creating a personalised understanding of your symptoms.
We advance with neurological exams, vestibular function tests, audiometry, imaging review, and cerebrospinal fluid assessments to confirm the diagnosis accurately, excluding alternatives. Our senior clinicians review these collaboratively for precise, comprehensive insights. This expert pathway distinguishes us, informing tailored management that alleviates symptoms and improves function effectively. At Harley AVM, we ensure personalised follow-up for optimal long-term outcomes.
Major Insurance Providers Accepted
DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Chiari Malformation
Every Chiari Malformation case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.