cerebellar vermis hypoplasia with megacisterna magna

Hello,

I have almost daily since 4 years, occipital headaches, dizziness and
pains in shoulders and neck sometimes in hands. My neck and shoulders
are always tensed making me sit in strange positions.

I have recently had a cervical spine and brain MRI. Results were fine
with the mention: cerebellar vermis hypoplasia with megacisterna magna
and the presence of falx cerebelli.

The pains I have don't go away with analgesics or antiinflamatory
medication. I feel like something is pushing or touching my nerves. Very
unconfortable when it happens daily and almost every day.

What do you suggest? Do you think cerebellar vermis hypoplasia or megacisterna magna can cause headaches, neckaches and dizziness? The dizziness is not when walking or doing something, it is a constant feeling which lasts for hours sometimes days.

I could not find any cure yet, and all other investigations(heart/blood/etc) were fine. What should I do?

[CCF-Neuro-M.D.-SH]

First of all, keep in mind that I am unable to diagnose you because I am unable to examine you, this forum is for educational purposes.
    The symptoms that you describe, headaches, neck/shoulder pain and dizziness are non-specific.  These symptoms are often seen in cervicogenic migraine headaches (headaches that are triggered by neck problems).  These type headaches are often refractory to medications, but do respond to neck physical therapy and/or botox injections.  The MRI finding of a small cerebellar vermis (hypoplasia) can be related to a number of different conditions including a congential/genetic condition (such as a spinal cerebellar ataxia), long term use of anti-epileptic medications, and long term alcohol use.  I would recommend that you see a neurologist that can obtain a good family history and based on that, may send some genetic tests to evaluate the cause of the cerebellar problem.  The cerebellum is the part of the brain that controls balance and could be causing your dizziness (or may be unrelated).  The term mega cisterna magna refers to an increased space around the cerebellum, likely related to the volume loss of the cerebellum.
I hope this has been helpful.

[tinokoussoff]

you should contact Dr. jeremy Schmahmann's lab at harvard as these guys seem to be the experts on cerebellum in general