Hey Patti,
Welcome to Benâs Friends.
Yes, it is an older original post, but thatâs OK. The information is still relevant.
I donât have chiari as such, but I do have some major issues with CSF and as a result also have hydrocephalus (water on the brain) and a shunt (a plastic drain tube) in my brain to âtryâ and manage it all.
You state "⌠Prior,post and presentâŚâ When you say âpriorâ, prior to what? Have you had surgery? or are you meaning prior to diagnosis of CM?
Some medicos are of the opinion that if your tonsil is less than âxâ mm, then you wonât be symptomatic. But if you read through some other community members posts youâll find that the tonsil size is not always the determining factor. In other words you can have a smaller tonsil but still have some major symptoms.
The tonsil can completely block the aqueduct, where the fluid leaves the skull, and this is often what medicos look for, a complete blockage BUT there can also be a partial blockage and this can create what is often known as positional hydrocephalus. When we laydown our brain (and itâs contents) changes position. This positional change can also block the aqueduct and allow the fluid to build.
A simple CT scan can show any fluid on the brain, but Iâd also recommend that you take note of the time and your activity when you notice your symptoms increasing. I say all of this because in the morning, OMG, my balance was/is a mess, often finding myself in a pile on the floor if I go to move to quickly. But when I went for a scan Iâd been upright for hours, travelled to the hospital, a 2 hr trip, then had to wait for the medicos. So they scanned me and said âwe canât see any issuesâ, the fluid had drained during the day, but at night, up goes the pressure again. They had me stay overnight at hospital and scanned me in the morning⌠âŚand sure enough, there goes the fluid. No wonder I was hearing swishing in my head, it was full of fluid.
Everybody thinking youâre crazy⌠âŚohhh, I know that all too well. The put me in a psych ward âcos you just canât be in THAT much pain. We canât find anythingâŚâ until they did find something. Just remember you know âYouâ better than anybody and if something is not right you must speak up.
After the psych ward fiasco I shut up about these weird symptoms I was having. Didnât tell anyone. Just put up with them. Add 5-6 years, Iâm driving down the road one day and saw this weird rainbow flash in my mirror and suddenly I couldnât see. Scary as all hell. I go have a scan and the dr comes out with ââŚohh look what we foundâŚâ like it was all something new. ââŚWhy didnât you speak up earlierâŚâ tsk. For years I was made out to be crazier than a box of frogs by these âmedical professionalsâ and I no longer play âthe Dr is always rightâ games anymore. I query everything. I know âMeâ better than anybody and Iâve become a VERY strong self advocate. I am not being railroaded (pushed to one side) again.
My recommendation: At the very least, get your pcp to document your reported âsymptomsâ. This way if there is some sort of pattern, it can be identified. Also if something suddenly happens itâs not that the medicos have to start from â0â, there is information somewhere. You can keep your own diary, but when it comes to medical, they can take our information as hearsay. Reports from Dr to Dr tend to hold more weight.
Also ask your pcp for a head CT, the report should show the tonsil size in comparison to previous scans. That can give you some idea if the issue is becoming more of a concern ie excess fluid.
And just remember youâre not alone with all of this. We know because weâve lived it too.
Merl from the Modsupport Team