CHIARI MALFORMATION COMMUNITY
Has anyones symptomes come back after surgery?

Has anyones symptomes come back after surgery?

Hello
I had severe pressure headaches, balance problems an dizziness for as long as I can remember, always having the feeling that somthing was "wrong" with my head, I was diagnosed with anxiety, told I neded glasses, I was even told that I was a hypocondriac, I myself started to believe I was crazy! No one understood what I was going threw. I became pregnant at 16 (yes young I know!) the weight of carrying my son amplified my symptoms and my limbs would go numb, they finally began taking me serious when my arms would turn blue, and they sent me to a neurologist... I was told I had significant pressure on my brain and was sent for an MRI. I was then diagnosed with Chiari 1...After I had my son my symptoms continued to get worse, pressure in my head to even laugh or caugh. I had the chiari decompression surgery when I was 17 years old. After many complications (CSF & sever alergic (allergic) reaction to the mesh they used to repair the leek) an 3 surgeries later, my symptoms seemed alot better. It has been 5 years now and everything seems to be coming back slowly. Has anyone experienced this before? I know I was told that the hernia can grow larger...  But has anyones symptoms returned after surgery?


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1179332_tn?1297482590
Hi Niki

I am only about 3 1/2 months post op so I can't really tell you but I am curious about this also as I have heard from different ppl that symptoms seem to come back around the 5 year mark. For me, many of them didn't even go away but the ones that did have stayed away for now.
I'm really sorry to hear that you feel they are coming back...after 3 surgeries you deserve a lifetime of relief!!
I wonder if it would be good idea to contact your NS and get it checked out? I have heard of cases of reblockage due to a variety of reasons. Do you still have follow ups with your NS? Sorry part of this is my own curiousity of what is down the road.
Take care
Carolyn
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1281668_tn?1271379782
Hello,
Imediately after my first surgery I felt some form of relief, but in time more syptoms (symptoms) started to subside... Only 5 years later are they coming back. From what I have herd the hernia can grow larger due to the space that was made in the decompression. However im not sure if this is a fact. I have made a follow up with my NS, I see him yearly. Unfortunately I put so much off, guilty of that, my son was just dx with it also so I have been so busy with his appointments. This is something I will definitely ask.
NIKI
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620923_tn?1335125657
HI and welcome to the chiari forum.

It is possible to get symptoms as the surgery is not a cure, but a means to slow the progression. If u just had ur surgery, I would say it was possible that it was part of the healing process....or that u had a chiari related condition like tethered cord...but since it is 5 yrs...I would venture to say it could be scar tissue or a syrinx....when was ur last MRI? Do u know if the tonsils retracted after surgery?

So glad to have u join our little family here, so sorry the reasons u had to seek us out.

"selma"

"selma"
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1281936_tn?1276560670
Hi,
Just found this site. I had decompression surgery in June 09. Unfortunately I was infected with a very serious type of bacterial meningitis during the op. Scary times, but I recovered. Nearly all of my Chiari symptoms disappeared immediately after surgery (I never had the headaches, but nearly all the other symptoms). I was feeling really good until a couple of months ago when I started getting tingling down the backs of my legs. Now in less than 2 months almost all my old symptoms have returned. I have an appt with my neurologist in 2 weeks but now think I'll call my neurosurgeon too and push for an MRI. I've read that you can develop SM post surgery, even if you never had one to begin with.
Really sorry you're going through all this. Even though I think many of us feel isolated with this condition, it's good to be reminded through groups like this that there really are people like us, and who believe us.
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620923_tn?1335125657
Hi and welcome to the chiari forum.

May I ask, could u have been doing  an activity that may have triggered this... have u been in touch with ur NS?

U r so right...this condition is not an easy one to navigate and to have drs not believe our symptoms r related to the only condition we r dx with  is so frustrating...and then once u have surgery too many feel ur were cured.....but we have this group to get the info and support we need.

I am happy to have u as part of our little chiari family here, so sorry the reason u had to seek us out.

"selma"
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Avatar_m_tn
Hi Niki,

My situation is similar to yours. I had my surgery10 years ago and for the past year some symptoms have come back and I am in chronic pain every day. My head, neck, and back hurt as well as stiffness in my neck. I have a syrinx in my spinal cord, but everything else is normal on the mri. The dr said there is nothing they can do so i guess you just have to deal with this disease. Surgery is not a cure.
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1281668_tn?1271379782
After my surgery I devolped a chemical meningitis! Sounds very similar to yours, but a CSF leak was the cause. 3 surgeries later! Things were fine for a while, I havn't done any strenuous or recent activity that would trigger anything. These symptoms just seemed to be coming back slowly, im starting to thing maybe its just something I will have to adjust to. I know the surgery was not for a cure, just help with symptoms, just lowsey to see they are all coming back.
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1281668_tn?1271379782
Sorry you are having all this pain, sometimes I feel like all this is such a burden. But then I take a few breaths an just go on. Sometimes the headaches and pressure can be unbareable, unfortunatey there is no cure, only small signs of relief with the surgery, I just wish the relief had lasted a little longer!
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1281936_tn?1276560670
Thanks for all your comments. Niki, I haven't heard of chemical meningitis. I think I was suffering from the meningitis straight after surgery and the dr.s didn't pick up on it. They kept telling me it was a migraine or that the morphine wasn't working on me. I was in the hospital 7 days instead of the expected 3. Only home for 24 hours before I started feeling even worse. Hours later I was back in the ER, and spent the next 8 hours there waiting for some relief or a diagnosis. Had lower abdominal pain like I was giving birth, plus the worst head pain of my life. Finally they did a LP and apparently the fluid was the color of skim milk instead of clear. General panic as they isolated me in case I was contagious. My husband was panicked because he hadn't sterilized the home thermometer between using it on me and testing the readings on our two kids. Dr told him if the meningitis was contagious it would already be "too late" for our kids! Thank god it was bacterial and not contagious and only I was sick. Another week in hospital and then i was sent home with a "pic line" for 3 weeks. After a week I broke out in hives from the meds, then the next med made me nauseous and vomit constantly. Not a fun activity with an 8" incision in your head, as i'm sure you all know!
Once I recovered from all this I really felt good - basically no chiari symptoms. (til a couple of months ago)
Selma: you're question about activities got me thinking. I was playing in the surf at a beach early February with my kids. I tried using their boogey board and a freak wave smashed into the back of my neck and send me crashing through the water, head over heals in a full forward roll. I remember standing up again, coughing and thinking "wow, I'm glad didn't do any damage to my head" but now I'm wondering . . . I don't have a date for when the symptoms started coming back but it was around that time of year.

Having to deal with Chiari again is causing me major stress, but to think that I may have caused this and that there's now no cure is breaking my heart.

Niki: I'm so sorry about your son. How old is he? What are his symptoms? I'm worried that I've passed this on to my kids too (Ian 13, Lauren 11). They are scared too, as they are old enough to comprehend all that I've been through and how close I was to dying with the meningitis. So far, no symptoms for them. But I was 44 before I got any too.

Tina
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620923_tn?1335125657
HI Tina...we all need to be careful with our activities....and it is possible for the tonsils to re herniate....or for us to develop scar tissue which can also cause similar symptoms...so a MRI for a check p and let the drs know about the boogey board incident as it may have just triggered some symptoms....

Please keep us posted : )

"selma"
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Avatar_m_tn
Hey guys, I am in a similar situation. I had the surgery back in Jan. of 09 and for around a year and a half I was perfectly fine. No problems. Suddenly around Easter of this year I started getting the headaches again and things progressed. Long story short, I am now wheelchair bound due to extreme weakness in my legs. I have coordination issues off and on and have lost the ability to speak. All things are Chiari Type I symptoms. I have had a new MRI and a new Cat Scan and had my Neurosurgeon look at all of it and he says the Chiari looks fine. I am confused of how the symptoms can return if everything looks physically ok. Does this happen though? If So how often? Please give me advice and if there is evidence of the symptoms returning without anything physically looking wrong I would love to have a cited source to show my doctor and family. My family is almost acting like I am crazy

Dustin
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620923_tn?1335125657
Hi and welcome Dustin to the Chiari forum.

I am so sorry u r having these issues...may I ask, did they check u for chiari related issues, like tethered cord, Ehlers-Danlos, DDD, stinosis....Pusedo tumor cerebri.

Was this the same dr that did ur surgery?...if so, get a second opinion.
http://www.medhelp.org/posts/Chiari-Malformation/LIST-OF-CHIARI-SPECIALISTS/show/1121460
The above link is to our list of drs, BUT please research ne dr u consider seeing...this is just to serve as a starting point,the list was compiled by our members of drs they have been to and liked. I hope u r able to locate a dr u r comfortable with to get a second opinion.

It is possible to develop scar tissue that can block CSF...but it doesn't always show on a MRI...did they do a CINE MRI??

"selma"
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Avatar_m_tn
This is the same doctor that did my surgery, there was no sign of scar tissue or anything. A person on the chiari yahoo group said that sometimes symptoms just return with no apparent visual reason but the person who told me this didn't cite a source so when I tell my family they act like I am crazy.  According to a doctor I saw two years ago for my scoliosis the neurosurgeon I saw is the best in my area. I will be seeing a neurologist soon though that is new to the area.

God Bless,

Dustin  
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620923_tn?1335125657
Hi Dustin...do u know if the NS is a true chiari specialist? I have no doubts that ur NS is tops in his field, but u may want a opinion from someone that does nothing but treat chiari...gives them a bit of an edge.

Worth checking into.

Biggest issue many families of Chiarians deal with is they feel since we had surgery we r fixed....however there is no fix, just treatment to slow progression.

I pray u r able to enlighten ur family so u have their support, and I pray u get answers as to what has changed ur condition.

Please keep us posted

"selma"
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Avatar_f_tn
I had sugery for chiari 1- 5 years ago and felt great until a few months ago.  I was told that once the surgery was complete that I would not have anymore problems.  Now I have headaches, eye pressure and neck pain all over again.  Even worse, I do not have Insurance anymore, what should I do.  

Amanda
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620923_tn?1335125657
Hi and welcome to the Chiari forum.

I am so sorry u r dealing with all this again, but 5 yrs symptom free is pretty good.
But surgery is a means to slow progression, it is not a cure...once u have chiari u will always have chiari.

Now u may have scar tissue that has built up to cause a CSF blockage...or a syrinx has developed.....

Was ur NS a chiari specialist?

"selma"
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Avatar_f_tn
Hi, I just found this website and think you maybe able to help me. My three year old had surgery for chiari malformation 1 yr ago. We thought as the scans were improving gradually this would be the end of the symptoms. It is very hard to determine at three how he feels and what is a problem. He has reciently started to vomit more frequently mostly at night time. Sometimes appearing to have a head ache with it and sometimes with crying or laughing. He also says he feels wobbly sometimes and has to lie down if he laughs to much or does anything strenous. We find it hard to judge as we dont know what he is going through and he is so young. Also a year on he still requires thick and easy to drinks to stop him aspirating. Does anyone have this problem and does it get better.
Thanks
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620923_tn?1335125657
Hi and welcome to the Chiari forum.

Many chiarians do have issues post op...it may be a related condition, or scar tissue built up....
We also have GERD and reflux issues...has he had this checked?

And we also deal with vertigo which can cause the issues with the vomiting.....I also have an issue if I laugh too much I tend to gag and at times can vomit...even after surgery....no 2 of us r alike...or react the same to surgery.

May I ask when his last MRI was?Did he have a yr post op dr visit?

Be sure to mention the aspirating issue to his dr....as that is not normal from what I am aware of....

We r always happy to have new people join us, but never happy for the reasons that bring them, especially when a child is involved.

"selma"
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Avatar_f_tn
Hi thanks for the reply. Max last had a mri in september and his scan was good compared to previous. The aspiration problems were his main symptom and he had a peg fitted as it was so sevre so we are lucky to be just on thick and easy now. I am a bit worried about the vomiting though as he has vomited 11 times this month. Mostly in the evening and often with crying but this has never happened before then. May give his surgeon a ring dont want to pester them though. thanks again ruth .
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620923_tn?1335125657
I would not consider calling about 11 times in one month pestering.....u need some insight and ur surgeon should be able to guide u.....

Do u also have a good NL?...they do the dxing...so u may want to call them as well.

"selma"
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Could you tell me what a NL is please? Think you are right will ring Maxs surgeon.
Thanks Ruth
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620923_tn?1335125657
...sorry NL= Neurologist....NS = Neurosurgeon.....we do have a list of abbreviations that we use.....http://www.medhelp.org/health_pages/Neurological-Disorders/Acronyms-and-computer-short-hand/show/509?cid=186
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Avatar_f_tn
I thought I was going crazy! I'm glad to see that I am not. I had the surgery 3 months ago and for about 2 weeks now the pains and symptoms are back and 10 times worse.  I have called my doctor and have not received any calls back yet.  I don't know how much more pain I can take without going straight to the ER.
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1570846_tn?1295833227
I want to wish you well. I am only a month post op and seems like nothing has changed for me at all except for the worse. but i have always been told by dr's that i am a special case that nothing they seem to do ever works for me. so i wish you well and hope that you begin to feel better and find the answers you are looking for
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Avatar_m_tn
hi sorry to hear abut ur syndrome...im in same situation ive had 2 surgurys last time had  was 10 years ago and my situation is all back..well its worse..my ds  is very helpful..but there is nothing to stop it...im only on pain killer tablets....i guess got to live with it...my illness is 10 steps ahead of me...so its always something different to for my ds to learn from me..black eyes dizzy spells very headaches...so u end up shaking....pain in back neck...very restless nights and days....the way i see it live to macks while ur alive...neva now whats waiting next day..wont be long b4 every system off my body will clapps.
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Avatar_m_tn
I had the decompression surgery in July of 2010. I found that after the surgery i felt great. about 4 month ago i started to get the pressure and headachs back. I thought this was strange untill i realized that on the days i got the pressure it went from calm the day befor to windy that day. I found that my chiari symptoms had become barometric pressure sensitive. If you live in an area that tends to have large ups and downs in pressure change this may be the same for you. I moved 10 hrs north 2 weeks ago where it is not windy and havnt had any pressure or headachs since.

hope all gets better for everyone, chiari is hard to live with. I almost lost my family befor i was diagnosed, it made mine and my familys life hell.
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620923_tn?1335125657

  Hi and welcome to the Chiari forum.

Yes, many of us do feel like walking barometers.......and many of us had this issue b4 surgery, I had co -workers asking me what the weather was going to do, or tell me by what they observed after working with me a few yrs...lol...

And yes, it is not easy for our friends and family either...this is a tough experience.....

  It is also possible to get some symptoms back as a result of scar tissue that builds up or other related conditions.....so do get checked if and when u have new or revisited symptoms.

Thanks for sharing some of ur chiari experience with us : )

  "selma"
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Avatar_f_tn
Hi,

My daughter (11 years old) was diagnosed with Arnold Chiari Type I last summer. Almost a year ago. She was operated in august 2011. At first she seemed fine on a regular basis. Some days more tired than others, some head aches here and there. Since the operation she cannot stand really loud noises. She can no longer go watch hockey games, concerts. Her right foot has started dragging again and her left arm is still weak. Over all I was still happy with the outcome if I compare to what was happening before the surgery. Its been a fiew weeks now that mostly in the evening around bed time, she starts coughing. She usually gets head aches from coughing so much. The other night she was coughing so much that she ended up vomiting. At the time I wasn't sure if it was because she ate to much at dinner time and didn't have time to digest. From the comments that I'm reading maybe I should be concern. I tend to freak out more than I have to... I'm also not sure I get what my daughter has and the severety of it. Maybe I'm in denyl.
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620923_tn?1335125657

  Hi and welcome to the chiari forum.

  First, not all chiari surgeries r done the same, some r done to be minimal...so, do u know what all was done?...did she have a laminectomey(shaving some bone off the C1 and C2 vert) and did she have a duraplasty (opening the dura and replacing with a patch)...if she did what type of patch was used?

  And was she checked for related conditions?...like PTC, Disk issues, sleep apnea, tethered cord, ehlers-danlos, and a syrinx?

  I know this is a lot...but this is what u really need to look at...plus when was she to see her NS last?

  SOme things can develop post op like scar tissue...so follow ups and a post op MRI should be done around 6 months to a yr post op.
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Avatar_f_tn
Hello my name is Missy. I had surgery in February 2010. I had 2 wonderful months symptom free but then started having headaches and numbness on my left side. My NS told me there was nothing more he could do for me. He couldn't do any more surgeries because my bones were too soft. He then told me to find a NL. He referred me but I had to find my own. I am disabled so I have medicaid. It's not easy finding a specialist in IL who takes Medicaid for an adult. My NL has been trying different meds to help with my headsches and neck. Then I started having all over body numbness, my vertigo came back, extreme pain in my back down my spine. My NL wanted to send me back to my NS but he refused to see. He finally agreed to see me in June if after looking at my xrays and MRI he thinks he can help me.i am so frustrated. I have tried so many different meds to no avail. They work for awhile then quit working or I have a reaction to them. the NL just now on April 30th ordered an MRI. I have not had one done since 2009 when they found my Chiari.
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620923_tn?1335125657

  Hi and welcome to the Chiari forum.

May I ask was ur first NS a Chiari specialist?

It is possible to have a failed surgery, it is also possible to develop other issues post op, and it is also possible to have other issues in addition to chiari that can flare up post op...and it can depend on what u do daily that can affect how u feel depending on what all is going on.

I am confused, ur bones r soft?....or r ur joints hyper flexible? Do u know if u were checked?
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