Need advice on recent Chiari diagnosis

Hello everyone, I’m new to this forum, but I just got diagnosed with Chiari type 1 two months ago, at first the headaches were bad, then I started taking medicine. Since I’m trying to get on diffeeent medicine to manage the issues, I haven’t had a lot of problems, thank God.

When I got my mri with contrast, it showed a " 1.7 cm of tonsillar ectopia" with a syrinx that looks like it’s " been there since birth."

I talked with the neurosurgeon as he essentially told me not to worry about it and he thinks I should be fine. I haven’t experienced a ton of symptoms over the past couple months and when I have, it’s been on and off. I need advice from others onto how’ve they coped with this. I feel like my herniation is large.

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Hey @Jdelong ,
Welcome to Ben’s Friends.
My name is Merl, I’m a member of the modsupport team here on Ben’s Friends.
When you say “…then I started taking medicine. Since I’m trying to get on diffeeent medicine to manage the issues”. Which medicine are you taking? What are the issues you’re needing a different medicine for?

I have a little nasty growing in my head which has caused me a plethora of side effects, including hydrocephalus (water on the brain) as the growth has closed off the aqueduct and is putting pressure on surrounding brain structures. Some medicos are often of the opinion that if the herniation is less than a certain size, your symptoms will be minimal, but that is not always the case. Some people can have a minimal tonsil but have no end of symptoms, others can have a major herniation but minimal symptoms. We are all individual and how our body’s manage/adjust to our symptoms can be very individual. I’d had weird and wonderful symptoms for near on 2 decades before a confirmed diagnosis was made. Prior it was a case of ‘Well, we can’t find anything… …It must just be YOU’. Then one day I’m driving down the road and the lights went out. I couldn’t see. I pulled over I called my wife, she took me to my pcp. I was sent for a scan and my neurosurgical journey began.

The initial neurologist I saw recommended a ‘Wait’n’watch’ approach. ‘Ohh, but don’t worry about it…’ DON’T WORRY ??? You’ve got to be joking. I was a ball of stress before the appointment, then a Dr says, “Don’t worry” OMG. My stress level multiplied in a millisecond. As I say I’d had symptoms for years and they were only getting worse. So, the idea of waiting was ??? Waiting for what???. For things to get even more worse??? That was not an option for me. I wanted a 2nd opinion and made a appointment to see a neurosurgeon. His recommendation was ‘Operate. Get it out.’ which was exactly what I wanted, only that wasn’t how it all worked out.

When they opened my skull, they found the growth was too close to brain structures I need to survive to be completely removed safely. So, the medicos reduced the size of the mass but could not remove it. The operation had altered the route and flow of brain fluid, and I ended up with hydrocephalus and 3months later I was back having a VP shunt placed in my brain to regulate the fluid pressures.

After the surgery I was told ‘All fixed’ only it wasn’t and over the years I’ve required 6 neurosurgeries to try and manage it all and still today I’m on a daily seesaw of fluctuating symptoms/side effects. As I’ve said to others “Some days I can leap a tall building in a single bound (OK, so a bit of an exaggeration) But then some days I’m lucky to even crawl out of bed.” I just never know what today may throw at me.

Me, personally, I think the medicos common line “Ohh, it can’t be that bad…” is an assessment only you can make, not them. They may examine you, they may have the scans and reports, but they cannot feel exactly what you feel. That is an assessment for you alone.

Hope it helps and please do let us know how it all goes.
Merl from the Modsupport Team

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Thank you so much, Merl! And thank you for sharing your story. If you don’t mind me asking, how did you know you had hydrocephalus? But you story is very impactful. It’s been 2-3 months since I got diagnosed, but my symptoms have been up and down.
I went to talk to a neurosurgeon and he examined the herniation and my symptoms, but told me “not to worry about it.” Granted, my symptoms haven’t been severe, but the herniation is big. He told me that the surgeries done are 50-50 chance and “most end up worse than what they came in with.”
I’ve heard people that say that if a NS says “50-50,” find a different NS. But idk what direction to go in.

Hey @Jdelong ,

As a young child I was involved in an MVA, but back then Xray was about the only ‘scan’ available. So, it was all put down to a ‘bump on the head’ by the drs. I’d had signs of issues for many years, but a cause was not identified. Seems it was easier to label me as ‘A s$%t of a kid’. I certainly lived up to that title. If there was trouble, I was probably involved. As a teen seems easier to label me ‘Crazy as a box of frogs’ than to investigate. They even put me in a psych ward because ‘We can’t find anything wrong. It’s all in your head…’ Little did I know just how real that would turn out to be. I soon learnt it was easier just to ignore these oddball and shut my mouth.

I got on with life as best I could. I got a job running a homeless youth shelter. One day I was driving a van full of clients down the road… and I saw these SUPER bright stars in the corner of my vision and I pulled over at a shopping centre, by the time I parked ALL of my peripheral vision was gone. I could only see the middle. I called my wife, she took me for a scan. So, the final straw was my sight, but prior to that I’d had all sorts of odd symptoms which I believe were related. Was it the MVA the caused this? Was it the growth? was the growth caused by the MVA? And for every medico who says ‘Yes’ there’s another who says ‘No’.

When it comes to neurosurgery, if you have questions, get a 2nd opinion. Hell, I got a 3rd, 4th and 5th opinion. I wanted answers. If I could avoid brain surgery, you can bet, I tried. Sometimes we can manage without surgery and if you can avoid neurosurgery, I would strongly recommend it. But the reality is often we don’t have a choice.

Merl

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Words can’t express how grateful I am to you for not only giving me feedback, but making me feel heard. Thank you so much for the advice! I’m going to get more opinions on this because of this.

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Ohh that ‘feeling heard’ is a BIG thing. I was discredited repeatedly “Ohh it can’t be THAT bad…” or my favourite “Well, I’m the Dr, I’ve completed years of study, and I know. You? You’re just the patient… … you wouldn’t know” I wanted to rip his damn head off. Arrogant sod. I know agony, but their response was “Oh, you just have a low tolerance to pain”, but what I have is a low tolerance for arrogant medicos. You know your body better than anyone and don’t ever let anybody tell you otherwise.

I was brought up with the paradigm “The Dr always knows best”. I was doubting my own body. My pcp at the time told me ‘They operated, they fixed’ brushing my concerns away, but this was far from fixed. When I saw the surgeon he says to me “Why didn’t you speak up sooner?”. I had, but nobody was listening. They were all trying to negate any responsibility with 'Well, don’t blame me…" type statements. The surgeon told me to find a new pcp, which I have done.

If you have questions, you have every right to seek those answers. Don’t let them minimise your concerns. We do not choose to be in this position, so the idea we choose to be in agony is just so damn insulting. I just love being in pain, NOT. Post surgery, I’m lying in a hospital bed, curled up in a foetal position, clutching my skull, trying to prevent it from exploding, just WOW intense, like someone has shot a steel bolt from the back of my skull, out through my eyeball. And I had nursey tell me “Ohh it can’t be that bad…”. I told her to lay on the floor and I’ll boot her in the head, then she could tell me all about it. “There’s no need to be so offensive” she says. “Then stop making stupid statements”. Honestly, they have no clue just how bad BAD!!! can be.

We know this because we’ve lived it too. You are not alone.

Merl

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Hi. I hope some of my tips can help. First of all - I found out I had Chiari after years of symptoms, headaches, etc. My husband just had had an AVM rupture (I’m on the AVM support group with Ben’s Friends also) and I ended up in the hospital myself shortly thereafter. Finally I had an explanation for so many issues I’d had through the years. Well - some of the things that have helped me most are pretty simple. Don’t pick up my heavy grandchildren - let them sit on my lap. Heavy things trigger my chiari headaches. Positioning is everything. I work at a desk, and I attend church - but I cannot stay in one position. I HAVE to move a lot. Purchasing “my pillow” has made a world of difference. I knew that if I let myself sleep while feeling any tingling in my head, I’d wake up with a headache - the “my pillow” helps me find the best position and hold it. I’ve found that a duo action pain reliever works well and also that if it doesn’t, naproxin is effective for me. Another really big help to me has been that when I eat well, meat and veggies, and try to stay away from a bunch of carbs/sugars my body does better. It keeps imflamation down which keeps from irritating the already narrow space Chiari presents. Also, I take some anti-inflamitory enzymes prescribed by a natural doctor. Being sure to walk several times a week also helps. If I do all of this, I don’t have many headaches - if I violate one of these things I’ve found work for me, then I can expect a headache. Last week I lifted my 4 year old grandson out the window (the kids were playing on an inaccessible side of my house) and I suffered for it the nextt day. But I knew exactly why!

P.S. I also read and was told treatment was a 50/50. On the flip side, with my husband’s rupture and 3 brain surgeries, I just wasn’t feeling having something done like that at the time or making my children worry. Years later I’ve learned to manage pretty well. It’s been almost 12 years since then.

Hope this helps!

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I’m honestly shocked they told you all of that ridiculous nonsense. I can’t believe some of them choose to be in the profession not to listen and not to take what people are saying as valid. I’m sorry you had to go through that.

I grew up with that paradigm as well and it’s far from the case! People go through different things the doctors have no clue about and brush it off like nothing.

I’m going to get a 2nd opinion from a NS near me and I’m excited about it because I heard he’s really good and he treats his patients well.

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I’m so sorry to hear that about your husband. If you don’t mind me asking, was the AVM rupture caused by chiari as well?? I hope he’s doing better now as well as you.

What anti-inflammatory enzymes were you prescribed? My doctor didn’t give me any. Also, where did you buy the pillow, I’ve been looking around for the best one but I haven’t settled on one.

That’s what I heard too. I’ve been managing my symptoms, but they’ve been on and off a little bit too. I’ve been wanting to get a cine flow mri.

His AVM is not related at all. It’s a malformation of vessel somebody is born with and his ruptured. I Just happened to Just about the same time.

Here’s the link for the pillow. I’d try the smaller one first. And the secret to it is you you mold it to a comfortable place and then it stays in place but if you just lay on it, you’ll sink into it and it won’t help I also have That I use beside me, kind of like a hugging pillow

https://www.google.com/aclk?sa=L&ai=DChsSEwiK8vL5y62OAxWsKUQIHRReFJwYACICCAEQURoCZHo&co=1&gclid=CjwKCAjwg7PDBhBxEiwAf1CVu-grG3FhWpvym_VBp9_O3q6U_7E95QeHFfTfaJj6NlRN7fOzU56CIhoCrZQQAvD_BwE&sph&cce=1&sig=AOD64_02iJo1Lt2CBcRy2lRZ5C92bgpM1A&q&adurl&ved=2ahUKEwjq0uz5y62OAxW1IEQIHaVCKOsQ0Qx6BAgKEAE

I’m On the enzyme, I have to check the bottle when I’m at home

You probably already did this, but request your MRI report and read the details of it. It also should be able to tell you if there are any complications going on with it or if it’s just sitting there being an irritation, the biggest problem would be fluid buildup, but that should show I think in the notes if you have that issue

I’ll be in touch once I find out the enzyme.

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The supplement is by ortho molecular and it’s called Digestyme V.

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