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1380526 tn?1292839385

Extension longer AFTER surgery!!!

Just picked up my MRI reports from the neurologist.  I had 2 surgeries last year for an 11 mm Chiari.  Now the very latest MRI report shows a 17.8 mm extension!  My neurosurgeon was suposed to have been faxed these reports...Just saw him and he has no idea why my symptoms are so much worse than before the surgery!!!!
Best Answer
620923 tn?1452915648
COMMUNITY LEADER
Hi..do u know, did the NS get this report?...does he have the new MRI'S?....if so, get a 2nd opinion...and please refresh everyone on y u had 2 surgeries.


I can only think of a few reasons....cerebral ptosis(brain Slump), tethered cord...or a syrinx affecting CSF flow lower in the cord......

neone else???

"selma"
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1179332 tn?1297478990
Ugh..that's awful!! They definitely should be looking into that for you...your herniation may stay the same but it shouldn't get larger unless there was another reason. I'm with the other two..have they looked for tethered cord? I have heard that can pull the brain down, having the decompression can make more room for it to be pulled down further. Or cerebellular slump..if they took too much skull out the brain may slump down. Either way, there is an issue...have you thought about changing NS? To me, if either of these conditions happened and were undetected, it would make me a little nervous. Might be time to have a fresh set of eyes take a look at your case.

Carolyn
Helpful - 0
555358 tn?1292532061
Decompression surgery doesn't cure Chiari, it hopefully helps the symptoms, but if the cerebellum is still being squeezed (or pulled by tethered cord) then the herniation can still increase.

You may have to have yet another operation. I know that's not what you want to hear, but it sounds likely.
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