To make a short story long

Hello!

I've been in a lot of pain on and off for 37 years. My mom says that when I was a baby I would hit my head on walls and my crib so much my head would bleed and nobody could figure out why. I assume it was pain.

Head pain was normal for me growing up. I just thought you were supposed to have a shooting pain in your head if you ran or laughed or played basketball. All weird symptoms blended together and I just assumed that was the way things were. Until it got worse, of course. I remember when I was 11 noticing that my head would hurt so bad that i had to lie on my stomach and when I looked around everything looked like a dollhouse. In my teens I was very depressed and continued having the headaches AND what I now know were migraines. I felt better in my late teens, but in my early twenties started to feel dizzy, nauseated, headaches, visual problems and pain in my hands and arms. I was diagnosed with migraines and depression.

After being on psychiatric and various migraine medication for several years, the headaches continued to get worse. In 2008 (age 28), after a horrible headache where everything sounded metallic and was unable to move my arms easily or speak, I went to a headache specialist. He ordered an MRI and found the Chiari, then ordered an MRI of the spine and found the syrinx. He said that it wasn't causing problems and that I just had migraines. He happened to be making a movie about migraines, by the way.

One day I went into the office and after the nurse took my blood pressure and checked my info, she leaned in and quietly said, "we're not helping you at all, are we?" and I told her no, they weren't. She suggested I go somewhere else for a second opinion. So I did.

I researched doctors who knew about Chiari. I found Dr. Gail Rosseau in Chicago and she told me that I should have the surgery to stop the growth of the syrinx. I had the decompression, a CFS leak, and it was quite and ordeal. I thought that was it and I would never get well. I recovered in about a year and then i felt GREAT.

I had a new life! I traveled around, went to South America, jumped out of airplanes, went horseback riding in the andes, started a business, made bunch of friends (I'd been isolated before), depression lifted, occasional migraines and neck stiffness, started making art, lived and worked above a bookstore. What a difference health made! I didn't know how sick I had actually been.

Now it's crept back up on me. The past two years I've been in denial that it's been happening again. I've completely ignored it. I can't anymore. I was so depressed last year I ended up in the hospital. I didn't tell them about the chiari or any of the symptoms. I finally started telling my doctor about the headaches last year, but said they were migraines. My psychiatrist dug the info on my chiari out of my file and said it should be in the front because it's important. My doctor said that since the migraine medicine wasn't helping the migraines I should have another MRI.

My current symptoms:

Horrible head pain

Head pain made worse by activity, laughing, bending, even talking when it's very bad

Voice cuts out when turning head side to side or up and down

Sometimes very little or no head pain

dizziness

lifting stuff over my head can cause me excruciating pain the next day or two

tingling in arms

weird burning feeling in arms like somebody is rubbing a hot potato under one arm or poking it with a stick in an annoying way

So my doctor told me that it seemed my headaches are getting steadily worse and the migraine meds aren't helping. I got an MRI and she told me to see a neurosurgeon, preferably the one who had done my last surgeries. Well, the one who was in chicago was no longer there and the one who had repaired the CSF leak didn't take my new insurance, so they just referred my to one of the two in my small town.

Yikes! So this morning it was a bad time. This neurosurgeon barely spoke to me, had no idea about any of my prior surgical reports, said they couldn't find my previous MRI which I'd had there, and asked me what I was there for.

I started to say something about the headaches but he cut me off and said "well, the chiari isn't causing your headaches!" and I didn't respond. He said that when they fix it, they fix it for good. I said "what about the syrinx?" and he said "there isn't a syrinx! those are very, very rare." he seemed annoyed "plus, I only have an MRI of the head, how could I know if there was a syrinx?" at that point I was ready to leave. I knew there was no reason to be there.

So now the hunt begins for a NS who takes my insurance in Michigan. Probably going to try the University of Michigan. I usually go there for everything else because they're great. I'd be perfectly happy at this point to work with meds/lifestyle change but I want a competent NS who knows something about chiari to at least be there.

Thanks for reading! Hope to see you around here!

Hey! I know how it is to live with all these crazy symptoms and think that it's normal. I too realised they are in fact not normal only when they got really bad. For the last 7 months or so I've been in such a fatigue that I haven't cleaned my own home for once. I can wash some dishes, make simple meals every other day, but not much more. I don't have much pain.

I'm glad you met that nurse who actually observed they didn't help you and was honest with you! Sorry though your symptoms came back! That is one of the sadest parts of Chiari- the surgery ISN'T a fix, the symptoms may come back. Anyone who has read even a little up to date literature should know that! I know it's frustrating when you're facing a dr who is completely dismissing your concerns, but all you can do, is not waste your time and energy on people like that! I hope the next dr you see will be better informed and will help you!

Thanks for your reply, Fugu!

Great news, though. I emailed Dr. Karin Muraszko of University of Michigan and she sent me the emails of two other surgeons who specialize in Chiari at the university who will take my insurance. It will still probably be a while until I can see someone about it, or at least have them look at my MRI. At least it's in the works!

It's great that she recomended other specialists!:)

Hey Fugu, I'm waiting to hear a reply from the neurosurgeon, but I picked up my MRI report and it said that my cervical syrinx is better. It also said "No new interval significant abnormality" and everything else is reported to look fine.

Now I wonder if maybe that surgeon I saw a few days ago was right. I mean, it wasn't good that he wouldn't hear me out but maybe he was right that it couldn't be the Chiari.

I can't even work! All I want to do is go to sleep with a heating pad.

Fugu said:

It's great that she recomended other specialists!:)

The fact that he said, there is no syrinx because they are very rare, leads me to think his opinion on this matter can't be trusted. Sorry, I'm confused- do you still have a syrinx? Did the dr observe in a mri that you don't have one?

A dr should not say that there is no way it's Chiari. It's well known Chiari symptoms can come back years after surgery. It is also known, Chiari can be symptomatic if it is less than 5mm, which is called tonsilar ectopia on the mri report. You should see someone who knows what they are talking about! Go and see one or even both of the doctors who were recommended to you by your previous surgeon! Don't ever give up on your health because of some overconfident and rude doctors! Listen to your body and follow your gut! You will find answers and you can get better!

Hi miniboo, I’m Kelly I’m new to this support group. I read your post and what you are going through. I had my chiari symptoms get better for about 14 years, with out surgery. I have no idea why, they didn’t go away completely but enough that I was able to work and live a pretty normal life. When I was 36 my symptoms started creeping back in, until one day I was driving to work I got vertigo so bad that I had to pull over. I was so scared I had to turn around and go back home. I haven’t been able to work since. I had decompression surgery in 2011 it didn’t seem to work for me. I was also told that chiari was not causing all of my symptoms. I was sent from doctor to doctor with no help or answer. There are really no doctors where I live that treat chiari patients. For the past few years I’ve just been trying to cope with this on my own. I guess my point is that the chiari symptoms can come back. I really hope you are able to find a doctor that can help you.