I just learned a few months ago that I even had a Chiari Malformation, after seeing a pain specialist for quite sometime. They had seen it on my MRI but did not consider it significant enough to mention. After a procedure there was no end to my pain and fatigue for months. I begged, pleaded, scoured the Internet. They finally told me about the chiari, referred me to a neurologist, who did not think it was an issue either. Due to my persistence she finally sent me to a NS, Dr.Nauta., Louisville, KY. To my surprise he says just let me know when I am ready ready for the surgery. He seems very knowledgable, pegged my life and pointed out things no one else had. How do I find out about his patients, who did well with their surgery? How many needed more surgeries, etc? I have seen his name but no one says they have used him from what I have found here.