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DDear DEborah, How strange, but my sister-in-law had Cchiani Malformation about 5 years ago. She was operated on at the University of Pittsburgh Medical Center. She is doing fine at this time, but she no longer drives as she can't turn her head. The surgeon went in through the roof of her mouth I think. she wore a halo and later had a bone graft to strenthen hher spinal column to staabialize her neck She had a trach after surgery, which made it hard to communicate. So if you are going to have surgery get a chalk board or somethinng. You could write (print) with your finger on a persons hand. She was born in 1941 to give you an idea of her age,. I hope I didn't upset you, I only mean to help and prepare you. YOu'll be in our thoughts and prayeres. Never give up, your life is too precious, and so many people love you. Never give up or in. Sincerely yours, Margie [log in to unmask] ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn