Peter is a mischievous 12-year-old boy with an irrepressible rebellious streak, but in the bleak London orphanage where he has lived his whole life those qualities do not exactly fly....
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.here 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 two main kinds of Chiari malformations. Type 1 Chiari malformation symptoms and signs can show up in infants, children, teens or adults. Type 2 Chiari malformation is associated with spina bifida and is present at birth. Surgery can address symptoms such as headache, hydrocephalus, sleep apnea and others.