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Avatar universal

chiari w/ normal posterior fossa??

hey guys I've recently been diagnosed with borderline chiari 1  malformation 4-5mm.  to keep this story short my symptoms are daily headaches that begin at the base of my skull and radiate to the front of my head till I swear my head is gonna pop. I have a feeling of being off balance like I'm typing,  confusion or cognitive problems, I almost passed out while I was washing my client's hair, I always feel like I'm in a fog,  muscle fatigue,  general fatigue,  there are actually so many other symptoms and I can't remember them. I also have hashimoto's hypothyroidism which is under control at the moment and isn't causing my symptoms. I don't have RA,  lupus,  or MS  either.  what are my treatment options if my posterior fossa  is normal.  my doctor seems to really not know what he's talking about and has put me on Topamax to help prevent headaches but it makes me feel worse and it makes me a mean angry person. I don't know what to do anymore.  any help is greatly appreciated.
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11380154 tn?1417705926
I wanted to let you know that I used to take Topamax also. I have heard people in the medical community call it StupidMax. It really makes your cognitive thinking slow for a lot of people. What you are describing is something I can relate to. I know you also have to drink a lot of water with the medication as well. My doctor ended up switching my meds to Gabbapentin. Topamax was switched due to a rare side effect of multiple UTI's (which I never get) My daughter is on Topamax and does just fine. I suffer from a lot of your same symptoms. I can really relate. Hang in there.
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9432311 tn?1432825085
I wanted to let you know that I will join the other posters above in care, concern, and prayer for you. Keep current with any new questions that come up. Feel peace.
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246139 tn?1424371973
Yay! Keep us posted! I will pray for a quick referral and helpful information!
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620923 tn?1452915648
COMMUNITY LEADER

Prayers  sent your  way !!
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Avatar universal
thanks guys!  this helps... just as I was getting frustrated I found a place in Houston that specializes in Chiari and although it's far, I will have to make the trip and it's affordable for us!  the other glimmer is they are in my insurance network!! pay for me that when I call to change the referral tomorrow that everything goes through smoothly.  Omigosh this will be perfect if everything goes through ok.
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620923 tn?1452915648
COMMUNITY LEADER

   Please check  the  Health  Pages  for  links a thread  with links to non-profits  that will  fly  you  to  a Dr  as  well  as  surgery !

  Many  of  us  do have  to  travel  as  we  do not have  Drs close  to home....so  check  your  INS  to  see  if  that is possible or try  one  of  the non  profits   to  see  if  they  can accommodate  you.
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246139 tn?1424371973
I will keep you in my prayers and I'm sorry you feel so bad. I really know what you are going through. I am 34 years old, work full time, with 5 kids. My pay check doesn't go far now. I can't imagine after this surgery.


It might be worth it to spend the money to see the specialist though, in the long run,  after spending so much money on different doctors, test, and  meds without an answer.
I drove 8.5 hours in New York, Long Island to see  Dr. B. I'll have to fly home after surgery. I may be paying off a credit card from just travel and lodging expenses for the rest of my life after this, but it's worth it.  Lol
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Avatar universal
unfortunately the specialist on this site aren't near enough to me and it's not an option for me to go to them.  I'm very frustrated. I made an appointment with ENT and  I'm just going to wait and see what they have to say now. I'm so tired of playing the waiting game in the meantime feeling like garbage all the time.  it's very frustrating.  thank you for the response.
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246139 tn?1424371973
I believe many of them you can make your own referral.
Sorry if I repeated someone else. I just scanned through this post as I'm at work.
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246139 tn?1424371973
Hi. I have a very small herniation. 4 to 5mm. But I also have other factors that my neurologist and first neurosurgeon said were completely normal. After seeing an actual Chiari specialist, he identified instability along with Chiari and I am recommended for surgery.

I guess my herniations are acting like a cork. They are fat, and not simply slipping through. I would recommend seeing a doctor you hear about more commonly on these web sites. Its very refreshing and encouraging to talk to a doctor who has up to date information.
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Avatar universal
well,  I'm a lil ticked to say the least.  that specialist I was waiting on authorization to see came through and he referred me to ENT  based on my referral packet without even speaking to me or me even seeing foot in his office.  I'm thoroughly blown away and disgusted and sad and angry all at the same time and I don't know what to do now.  any suggestions anyone??
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620923 tn?1452915648
COMMUNITY LEADER

   Oh  ok.....glad  you  found  someone  that  is  well  experienced  as  it  can  make  all  the  difference  in  recovery......glad  you  found  the  list  as  well.
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Avatar universal
Nevermind... found it.  no he's not on the list but I did research him.  he has much experience but no longer does decompression surgeries because he does less invasive surgeries now but he does still deal with syringomyelia and many other things related to chiari plus if I need decompression surgery he would be the person I want to give me the referral to the surgeon that will do it.
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Avatar universal
I dunno if he's on the list.... where's the list? Lol
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620923 tn?1452915648
COMMUNITY LEADER

   Wow...well  sleep  apnea  is  a  related  condition to  Chiari  and  if  you  had  it  already  it  may  still be  part  of  your  issue.....deff  get  it  checked....
I  also  had  my  tonsils  and  adenoids  out  when  I was  7...mouth  breather...it  did  not help  me...I  also  snore,  but  never  woke  gasping  for  breathe...Drs   did  oxigenation test  and said  I  was  fine...

Oh...fantastic....is  your  Dr  on  our  list?....

  No,  and  I  also  did  not  think  I  fit  the  criteria,  but  I  do...so  do  get  it  ruled  out  medically  as  those  are  only  a  few  ways  to  get  a DX,  not all  with  EDS  are  hypermobile....

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Avatar universal
it's while I'm awake. I had bad sleep apnea as a child. I would snore so loud then completely stop breathing for long periods then start breathing and snoring again. I had my tonsils removed and they said that was the problem and it was corrected. I was 3.... that was 35 years ago and medicine has changed so I suppose I should get checked.  my doctor referred me to a neurosurgeon today that has much experience with Chiari and related conditions so I'm just waiting on insurance to approve it now so I can hurry up and see him and get this show on the road already. I looked up that eds  and the only symptom I really have is the joint pain.  does that matter?
Helpful - 0
620923 tn?1452915648
COMMUNITY LEADER

  EDS=  Ehlers-danlos Syndrome....it is a connective  tissue  disorder  related  to  Chiari....it seems  many  with Chiari tend to have this, and if not found  b4 surgery  it  can  affect  the  recovery  process.....

  Is  the gasping  when you  are  awake  or  do  you  awake  from sleep  gasping?

Sleep  apnea  is  another  possible  condition  that should be  ruled out......
Helpful - 0
Avatar universal
oh... and I have this strange gasping for air situation.  it's almost like a need to yawn but I can't complete the yawn or like I can't get enough air. I cannot stand it!
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Avatar universal
no never been tested for eds.  what's that? at the beginning of this I was experiencing near passing out episodes. I got  that feeling like I was going to pass out but I had to stop and take slow breaths and hope and pray I didn't pass out.  I actually did pass out about 8 years ago and when I came to my hands curl and I couldn't open them
Helpful - 0
620923 tn?1452915648
COMMUNITY LEADER

  A  drop  attack   from  the outside  can appear  to  be  the person  passed  out....but  if  you  have  ever  passed out,  you  can feel  the onset....but  with  a  drop  attack  you  do  not....my  Dr  explained  this  way....

  It  is  like  a light switch being flipped  off and  right  back  on.....but even  tho  it is  so  fast  you  do  not feel  your self  go  out for those  few  seconds,  you  still fall...but  you are aware  you  are  falling  but  can  not react  or  respond  to  call for help   or stop the  fall....when  our  CSF gets  blocked  it  is the  switch  off....this  is  why  knowing  if  you  have  an  obstruction  is  important,  all the  electric  pulses  and  autonomic  responses  can  stop....which  is  our  heart  beating, breathing  etc.....

Not  everyone  will have  drop  attacks or  severe ones  that  affect  breathing....but  it is  possible....


  Have  you  been  tested  for  EDS?....with  EDS  we  can  develop  CCI  cerviocranial instability....bobble  heads...and yeah  they  can  be  much  too  heavy  to  hold  up  on  our  weakened  necks....do  ask  for  testing  for  this,.  
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Avatar universal
what's a drop attack? I have bad balance issues too. I also have moments where my head feels heavy where I just don't wanna hold it up anymore or it feels like neck strain to hold it up.
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620923 tn?1452915648
COMMUNITY LEADER

   I  know, it  is  very  frustrating....No  EMG...the  Drs  had  a "new"  way  of  testing for  it....sigh....it  was  not  fallible  as  I  now  know....

  With  Hashi's your  TSH  levels  can  change   reflect  normal levels or  go  from  being  hyper  to  hypo....so something  that  needs  constant  monitoring,,.  and  to  get  regular  ultra sounds  to  check  for  nodules and  growth  of  them.


Well   I  was  having drop  attacks,,.,and  that  has  stopped.....I also do  not  have  the  extreme balance  issues...I  was  falling  a  lot  too....HA's  are  also  cut  back.....
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Avatar universal
and that is really strange that they told you that you had something that they later said you didn't.  were you tested with emg  before the release surgery or only after? I swear these doctors have God complexes sometimes.   btw...what relief did you get from decompression surgery
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Avatar universal
this is the single most frustrating thing I've ever had to deal with outside of the onset of hashimoto's.  when I was diagnosed with that my TSH was 122 so I was at the bottom of the barrel.  when these chiari symptoms began I thought my TSH was  somewhere in the 100's  again.  but it was totally normal.  hopefully my primary doctor doesn't give me any grief today.  wish me luck.
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