Other interventions depend on the type and severity of the Chiari malformation. Infants with myelomeningocele may need surgery to reposition the spinal cord and close the defect. Often, a surgeon will perform this procedure while the baby is still in the womb, as this is more effective. While hydrocephalus is commonly treated with a shunt, another option is third ventriculostomy. A small hole is made in the bottom of the third ventricle that allows the flow of cerebrospinal fluid, relieving pressure.

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