A: Vocational Rehabilitation (VR) is a federal-state program that helps people who have physical or mental disabilities get or keep a job. VR is committed to helping people with disabilities find meaningful careers.
Chiari malformation, also known as an Arnold-Chiari malformation, is a congenital (present at birth) defect occurring in the back of the head where the brain and spinal cord connect. There are four types of Chiari malformations: 1  Type 1 â Occurring when the base of the skull and upper spinal area do not form properly, a type 1 Chiari malformation commonly goes unnoticed until problems arise in the adolescent or adult years of life.
There are a wide variety of conditions that can be considered in the differential diagnosis of a Chiari malformation. The symptoms commonly associated with a Chiari malformation are vague and common to numerous other conditions. Some disorders are common misdiagnoses for individuals with a Chiari malformation. Such conditions include multiple sclerosis, chronic fatigue syndrome, fibromyalgia and spinal cord tumors.