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.
Diagnosis of Chiari is often made as the result of routine x-ray, MRI or CT imaging of the skull and upper neck or the lumbar spine, often for Migraine or other disorders. 3D CTA and 3D MRI are preferred for the doctorâs best impression and diagnosis of Chiari malformation as well as surgical preparation.