Duke pediatric neurosurgeons identify Chiari malformations, evaluate your child's condition, and recommend a treatment plan to prevent or limit neurological damage. Chiari malformations -- when brain tissue extends into the spinal canal -- may be diagnosed at any age, from infancy (sometimes even before birth) through adulthood. Our pediatric neurosurgeons collaborate with specialists throughout Duke to manage your child's care, especially if your child has another medical condition associated with Chiari malformation.