Please help me 'read' this MRI report

Sagittal images shows slight tonsillar decent measuring just over 6mm. Consistent with CM type 1. However there are no compressive changes to the lower medulla or compromise to the foramen magnum.
Sella, cerebellum, and cerebellopontine angle cisterns appear normal. IACs are open. Mastoids show no inflammation. Paranasal sinuses are clear. Principle arteries at the base of brain are open.

How does this compare with you guys? Is this a ‘good’ report or ‘bad’? I do notice my symptoms are not every day 3-4 days a week maybe, but I do have regular days too.

Xs are migraines, head pounding when bending over, tremor In left hand, eyes blurring or not opening, nerve numbness in arms, nerve sharpness in toe, neck pain due to previous surgery I think, heart pounding. That seems like a lot for a ‘not too bad’ diagnosis.

What is your thoughts? Am I a big baby worrying when I shouldn’t or is this consistent with your MRI reports?

Mommato7

Hi
Had a MRI that showed similar herniation to yours and I had many of your same symptoms. Just had decompresion surgery one week ago and already have symptom relief(headaches, dizziness, left arm numbness) all gone. The main thing now is the post-operative pain. Having an 8 inch incision from the middle of your head to your lower neck is no walk in the park, but taking meds and wearing a neck brace will be the way of life for now. Im told it gets better everyday, so I’ll have to trust that. So, you’re not being a baby. Get the help and healing you need. Best of luck!

Thank You. I was finally referred to a Neurologist, who then referred me to a Neurologist more experienced with Chairi.
I’ve discovered that my Scoliosis, severe neuropathy, tongue thrust and occasional swallowing difficulties, hands randomly tingling, weakness and occasional collapsing was all from Chiari. While in that appointment they took more X-Rays of my Cervical Spine, neck and head to send with the referral. The X-Rays of the head show that I have acute sinusitis again. This is something I get quite often too. Do you know if sinusitus is another symptom of Chiari?

I am currently waiting on this other Neurologist’s Office to contact me and get the appointment scheduled.

Thank you kindly,

Jennifer

Keep in mind migraines are very different from Chairi headaches and Chairi headaches are often misdiagnosed as migraines. I believe it’s fairly rare to have both conditions.

A typical migraine will be to one side of the head, more towards the top, and involve odd balls things like sensitivity to light and sound along with pounding pain (but not always). Numbness of limbs is incredibly rare with migraines and incredibly dangerous, it’s typically considered a possible warning sign of future stroke.

A typical Chairi headache will start at the back of the head and wrap around, rather like a vice, and will involve pounding, but the starting at the back is the important thing. It may also involve numbness and tingling and general unease.

azurelle