Hi and welcome to the Chiari forum.
So many Drs feel surgery can cure Chiari, it can not, it is only meant to restore CSF flow and may not effectively lessen all symptoms.
Furthermore there are related conditions with similar symptoms.
Chiari symptoms can return if scar tissue forms and causes another obstruction.....and trigger symptoms.
Were you ever tested for any of the related conditions? Did you have a post op MRI and one with the onset of these symptoms?
I am 14 years post op, and recently had a rapid recurrence of symptoms. Instead of going to a new neurologist, I called my NS and he put in the order for a new MRI. If you trust your surgeon that may be the route to go.
Hi....empty sella can cause all sorts of issues including headaches,,,,it can also affect the pituitary gland so make sure your hormone levels are checked.
I also agree, a full spine MRI to check on the tarlov cycst should be done too ...just to make sure it had not increased in size or obstructed any CSF flow to form a syrinx.
I had surgery and if I were to do something as strenuous as playing tennis I would have symptoms flare up too....so I watch my activity levels in order to hep keep symptoms as bay.