Recurrence of Chiari malformation

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I had decompression 6 years ago for a servere malformation. Recently I have been getting similar symptoms to those I had before my operation . Can a malformation grow again after decompression? I would not like to go through the operation again.

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  • Posted

    Good Morning

    I was diagnosed with CM about a year ago while Iwas complaining of the symptoms as I recall when I was 9 yrs old; I'm 31yrs old now so imagine how hard & difficult time I have had. Anyway I had the decompression last March 2014 I my neurosurgeon told me that I would gonna still have some symptoms residuals after all as there is no such "cure" for the CM. I still have the headache on/off, nausea sometimes, dizziness & numbness too but I've been told that all of those symptoms are a result of the cervicogenic headache where CM has nothing to do with it. I'm afraid to be honest to have it all over again coz sure I'm not going to go through the surgery.

    • Posted

      Hi Sujoud, yes I also have all my symptoms back and am really struggling. I also have SM, which doesn't help, I have a lot of damage to my spinal cord. I struggle to walk and have to use a wheelchair or my electric scooter!
  • Posted

    hello everyone,

    I can believe what a terrible time your all having with your GP's, when i visit mine he literally waits outside the room to see me, he says im the only person hes ever met with chiari malformation and he seems to be proud of that. I can honestly say im not but i feel very safe with hi knowing that he i generally interested and listens and helps with specialists, im a 25 years old female and since the age of 2 ive been in and out of hospital with scoliosis, syrinx, myclonus(which they thought was epilespy for a long time) and chiari malformation! Ive read up a lot on chiari malformations and read a lot of peoples storys with it to see how there life turned out, one lady i found in america has had decompression surgery 8 times as it keeps regrowing, its very scary and a total pain in the butt that theres no cure, drs and hospitals are never nice but i do urge you if you not happy with your gp or specialist then move a there are drs out there that care i have 3 different specialists and i feel totally at ease with all of them(this hasnt always been the case and i got second opinions and am now happy with the care i recieve) If anyones in the UK London and surrounding areas i will happily pass on the names of my specialists for you to see. i travel 2 and a half hours to see them but its def worth it

    • Posted

      I'm happy for you to know how safe you feel around your doctors. To give an honest opinion from someone who never been through a difficult times like you did; don't go for the surgery unless you really run out of options, though the surgery by itself is a life changing in a positive way but as all of us know there is nothing free in life(all comes with its taxes) so all of the after surgery complaints I think resulting from the lack of professional knowledge from our surgeons & this could be only me talking about my case. Keep on being positive & optimistic coz again as I do believe half of the treatment is a ones spirit.
    • Posted

      Hello Stacey, your very lucky to have such a good GP. I like many others on this site have problems with GPs. Mine (the practice specialist on CM) categorically states that if you have had decompression you are cured, you can't get it again, " What do you expect me to do about it."  A physiotherapist gave me a good examination and reported a symptom of  CM to my pratice who dismissed his report as he didn't know what he was talking about. Problem is finding a GP who knows about CM. If anybody knows of a simpertetic GP in West Midlands?
    • Posted

      sympathetic sorry.
    • Posted

      if you dont mind me asking where do you live. my doctors are so proud and they dont bother to do any research.
  • Posted

    Hello

    My 12yr old daughter has Chiari. She was diagnosed at age 3..4. She was asymptomatic for close to 2 yrs with 40cm is chiari . I began having concern that something was wrong with her when she was a toddler. She was 100% a tip toe crawler and walker. Doctors in New Orleans Louisiana and Houston Texas said I was overly concerned and it wasn't until a complete stranger that happened to be a physical therapist told me to demand a referral to a physical medicine doctor. Eventually a minor car accident whereby we were rear ended aspirated the situation that lead to her surgery.

    For 6 yrs she has had no problems but with the accident she began to complain of headaches and her legs falling asleep. She had a great neurosurgeon and thank GOD everything went wonderfully. She has other medical issues but as for the brain surgery she was doing great so we were somewhat released from neurosurgeon and only scheduled from every year to every 2 yrs.

    About 4 months ago she would occasionally complain of headaches she describes as "brain freezes" like her brain is tightening (increasing in tightness) to a slow release. The pain would last for a few minutes it freezes her thoughts and she cant speak clearly. sometimes I would give her Tylenol other times she would just stop in her tracks for a few minutes and keep going. The same way she behaved when she was younger prior to surgery. She also was complaining of leg pains and her legs would often fatigue. After a month or 2 of these complaints I took her into her neurosurgeon he ordered an MRI and gave us about 10 minutes of his time to discuss the results which he said shows slight change in her chiari bBUT he wasn't concerned so come back 6mos.

    2 months later the brain freezes increased in frequency. Tylenol nor Motrin provides any relief. She is not a complainer. A VERY resilient little girl and doesn't like to miss school. In the past week she has missed 3 days of school. We saw the neurosurgeon last week WELL we went in but he didn't see my daughter he sent in a resident. She told us the neurosurgeon doesn't think it's the Chiari. That we should see a neurologist and eye doc.

    She had a very thorough eye exam and the eye doc says everything looks good. He is the only dr that understands her pain b/c he has a son with very similar issues and docs didn't acknowledge his pain either.

    today we went to Emergency room b/c she woke up with a very bad headache. Still no answer next week we see a new neurologist I don't know what I need to do to acknowledge that my child is suffering I've read another blog and patients with chiari all have the same complaints. I mean I don't want surgery and she already takes a lot of medicine for other issues. Right now I just want then to not treat her like she doesn't matter and admit her headaches are chiari related! I'm sorry for such a long story but I want you all to really get the full picture

    • Posted

      My sympathies to you and your daughter. It makes me so angry that  these doctors seem so callous. I don't like to sound evil but sometimes I wish some of them (some must do) would have a CM so they can realise what we go through. I have just been prescibed a stronger pain killer for the ache in the back of my head "treat the symptoms". Best of luck with the Neurologist, saying that one of our top experts on CM made an intesting comment not so long back that people with CM should see a Neurosurgeon rather than a Neurologist. Don't know if its the same over there but in UK  Neurologist tend to deal with things like alzheimer's or dementia where as CM is Neurosurgeon, I spent 10 months under a Neurologist, doing nothing, after an MRI showing CM before being refered to a Neurolosurgeon who treated it.

       

    • Posted

      Hi shaebuttaMom, I just read ur post and it's been a yr. I was wondering how ur daughter is. I'm from the states and it took 40 yrs to be diagnose with chiari. At the age of 54 had decompresion it's been 6yrs. I still have some symptoms. After seeing all kinds of doctors and going to different clinics in 4 different states, I finally found a city in Coloardo that specializes in chiari. I just hope that ur daughter was helped and that she is doing better.

      Hope

  • Posted

    Hi,

    Can I askwhat type chiari malformation you were diagnosed with? I was diagnosed with type 1, 4 years ago and I have had decompression surgery. The one question I have asked all along is if it will ever go back to the way it was before the op. Every neurosurgeon I have ever seen and spoken too have all said the same.... That once the surgery is done tbe correction has been made, so although my symptoms may improve (which they did) it also means that it will not go back to the way it was before the op, simply because they have taken the offending bone away so therefore this will not cause a problem again. If you take a problem away then it won't bevthere in the future to cause a problem?? i only ask as recently I have been having more of the same symptoms.im trying to work out wether it is me panicking and being anxious which is making me think it is worse or wether it actually is the malformation and that the surgeons have all lied to me?

    • Posted

      I had a type 1 with cauterisation. You say your symptoms have improved but have they gone away or just been relieved? Ican't get a straight answer to the problem. Some say 80% of the symptoms can be relieved in 80% of cases? All Iknow is that six years later I have continual pain in back of neck (given strong pain killers), pain behind right eye, painful limbs and lower backache and all the original symptoms bare the colapsing after coughing. It has been suggested that it could be scar tissue from the opperation that causes it. But saying that on American sites some report having the correction done several times the most Iheard was 7 times, which I am secptical about. I just don't know what to believe, My own GP says "you had the opperation your cured" (basically go away and don't bother us) mind you I had to go to the surgery for a year with the symptoms before they would do anything for me, (every time I cough I collapse! -" we don't treat coughs but have some antibiotics."" Then another 8 months refered to an Nuerologist, saw be in January then kept puting off appointments till the October, the refered me to a Neuosurgeon who opperated within a couple of weeks. So you can see I am sceptical of the medical profession. Incidentally I was refered to a Physio re my limbs but after a thourgh check up he refered me back to my GPs concerned about some symptoms. My GPs, two of them, couldn't see the symptoms (typicaly CM spasmodic) and just gave me stronger pain killers.
    • Posted

      Sorry about the typos (bar not bare, me  not be etc)
  • Posted

    Hi Yeltzer, I havent been on here for ages but see you are still struggling and your Doctors still telling you, you are cured! Think he needs educating, I would find something from the Internet and print it off for him to read. Chiari is incurable, no matter what he says, symptoms can and often are relieved by the decompression surgery.  The surgery is not to cure the condition but to hopefully slow the progression of the condition. Some people have had two, three plus operations to improve the condition. As I said before, a Neurologist is the wrong person to see and we need to see a Neurosurgeon! I'm still struggling, some days I feel so bad I just feel it's not worth going on! Since my last post I havent asked to see anyone else, at the moment I'm not sure if I could cope with seeing any more specialists who don't listencry
    • Posted

      I was replying to matthewb38 post trying to explain the problems. If I read right he is saying that he was told after decompression things will be sorted. I agree reading posts on CM that there is no "cure" but why are there so many doctors/specalists saying there is? "You've had decompression therefore you're cured". The other problem is are the symptoms concerned with CM or could it be something else. Its quite easy to put it down to CM but is it all to do with CM? I am trying to eliminate other options through other treatments so I can see whats left. I should change my GPs,( been with the pratice since before birth 64 years ago) but who to? Looking at the surveys done my GPs are supposed to be one of the best in the area, who to turn to? Wonder if I can contact the Neurosurgeon direct without being refered by my GPs (there are several in the practice all of the same opinion)? As I stated two of them dismissed the report from the Physio out of hand. Yes I am over weight, obese in fact, and they put down my problems to this. The tiredness and pain don't help iwth the dieting and exercise, excuses I know, but I try. 5.25 AM must take some more pain killers back of my neck feels like some one has hit it with a baseball bat. Thanks all the same DizzyDora your a comfort.
    • Posted

      Hi Yeltzer

      I have been reading all your comments all day. Wish I would have found this site yrs and yrs ago. I had the decompression, the craniectomy & laminectomy c1 back in January of 2010. I continued having the symptoms but not as bad for a couple yrs. But bcs I was told by my NS at the time that I shouldn't have anymore issues bcs very few patience have to have the surgery again. I just thought my symptoms we're from my other illnesses (Fibromyalgia, Arthritis, Spinal stynosis, degenerative Arthritis of the spine, sciatica, depression, etc etc etc). Even though I know they are the same symptoms as before surgery. Anyway; I thought I was going crazy until I found this forum. Thank you all so much! I too have always explained it to my husband that I have all the same symptoms as before along with feeling like I have been hit with a bat and my new symptoms of MANY ear and sinus infections, blurry vision, nausea, and vertigo. I say new symptoms but i have been having them along with the BAD BAD headaches, neck and shoulder aches and such. I no longer live in Georgia where I lived during my last surgery so I have to find a new NS here in Indiana. I'm scared bcs I'm afraid they are going to take me in for another surgery. I have not only had CM surgery but I have also had a masectomy and several surgeries on my belly for different reasons. A total of 22 surgeries in my lifetime (I am 51 yrs old now). So you see why I'm not wanting to have another one especially for this type. I know I need to see a NS again but just stressing over it which of course flares up my other issues. Anyway; I know you haven't posted on here for awhile and I pray you are doing better. I just wanted to thank you for your posts bcs it has at least made me feel better and that I'm NOT crazy. Well about this anyway. Lol. Again thank you. Looking forward to your reply.

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