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SevereHead / nervous systemComplex

Chiari-like malformation (CM) and syringomyelia (SM)(CM/SM)

Chiari-like Malformation · Syringomyelia · Occipital Hypoplasia · Caudal Occipital Malformation Syndrome · COMS · Syringomyelie · Chiari-like Malformation and Syringomyelia · Okzipitale Dysplasie · Foramen magnum dysplasia · Keyhole foramen magnum · Occipital bone dysplasia · FMD

What it is

Chiari-like malformation is a structural neurological condition where the back of the skull is too small for the brain, forcing the lower part of the brain into the spinal canal. This displacement blocks the normal flow of cerebrospinal fluid, the protective liquid surrounding the brain and spine. Over time, the blocked fluid builds up and forms painful, fluid-filled cavities called syrinxes within the spinal cord, a secondary condition known as syringomyelia.

How it presents

Symptoms typically appear between 6 months and 4 years of age. Owners may notice extreme sensitivity to touch around the neck and head, whimpering, and a characteristic compulsive scratching at the neck area without making skin contact, often called 'air guitar' scratching.

Treatment

While the condition is incurable, it can be managed with lifelong pain medication or a complex surgical procedure to decompress the skull. Treatment costs typically range from 3,000 to 12,000 EUR depending on whether surgery or long-term medical management is chosen.

How it's tested

No established test is currently catalogued for this condition.

Affected breeds

  • Biewer Terrier
    Biewer Terrier
    Mandated by Verband Deutscher Kleinhundezüchter e.V.
    Mandatory test
  • Brabant Griffon
    Brabant Griffon
    Mandatory test
  • Prague Rattler
    Prague Rattler
    Mandated by Verband Deutscher Kleinhundezüchter e.V.
    Mandatory test
  • Belgian Griffon
    Belgian Griffon
    Recommended
  • Brussels Griffon
    Brussels Griffon
    Recommended
  • Cavalier King Charles Spaniel
    Cavalier King Charles Spaniel
    Recommended
  • Chihuahua
    Chihuahua
    Recommended
  • Petit Brabançon
    Petit Brabançon
    Recommended
  • Cavapoochon
    Cavapoochon
    Optional

Treatment cost

€3,000 – €12,000

Estimated range of typical treatment cost. Actual cost depends on severity, clinic and region.

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