I have been through three neurologist and countless medications and treatments for my migraines for the past 4 yrs. I was recently diagnosted with a type 1 chiari malformation, although terrified of this condition I'm glad they finally found something. My doctor tells me this is not the main reason for the migraine and want to continue with the meds, I feel like that all I've done for 4 years is trial and error with medications. I'm not crazy with the thought of brain surgery either but I don't know what my options are at this time. My question is does anyone else have both chiari and migraines? And if so what kind of meds are you on? And also has anyone had the decompression or shunt surgery, and what should I expect?