Introduction Chiari malformation is characterized by caudal descent of the cerebellar tonsils through the foramen magnum. Acquired Chiari malformations (ACM) have previously been described after a variety of pathologies including lumbar puncture, cerebrospinal fluid (CSF) drainage, lumboperitoneal shunts, and conditions causing craniocephalic disproportion. Case presentation We present four cases of ACM following spinal cord injury (SCI), which has not previously been described in the literature. Discussion ACM is rare and typically associated with abnormalities in CSF pressure or space-occupying lesions. This case series describes the potential association of SCI with ACM. We discuss the imaging findings and clinical management of these patients. Early recognition and intervention may be important to prevent progressive neurology in this vulnerable patient group.

The haemorrhage that occurs into the fourth ventricle passes to the subarachnoid space via foramen of Magendie and Luschka. This subsequently induces inflammatory changes of the meninges predisposing to arachnoiditis. Early recognition and intervention may prevent this devastating complication or at least reduce the morbidity.

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The workforce of Rehabilitation Medicine (RM) in the UK is 10 times less than the European average. This can be explained partly by the difference between the UK and other countries in terms of the scope of practice within the specialty and the history of the evolution of the specialty in the UK. There are potential advantages of a broader remit specialty to improve rehabilitation care for patients across a wide range of conditions in the modern National Health Service (NHS). A proposed Rehabilitation Medicine Expansion Proposal (RMEP) is also likely to make the medical specialty more satisfying for the doctors working in the specialty and a more attractive career choice for those entering training in the UK.