My junior year of high school I was diagnosed with Chiari 1 and a 9mm herniation. According to the many doctors, neurologists, and neurosurgeons, I am fine and I just need to learn to live with my symptoms. I refuse to accept such an answer, I want a doctor that is willing to push the narrow limits of traditional medicine and actually do something to help my symptoms. I've (sadly) come to terms with the fact that they cannot and will not help me in any way other than loading me with barbiturates or brain surgery. I've been told me options are either 1.) Take pain medication to get me through my days, or 2.) Have brain surgery that may or may not help the symptoms. I could write a book on why these are the worst options possible, but that's for a later time.
I am 20 years old..I have so much life ahead of me, I'll be damned if my best option is chemicals that will take the edge off of symptoms, but cause organ (or God knows what else) failure 30 years later. I don't want short term relief, I want long term solutions.
My favorite part from the chiari research done thusfar is: "Traditionally, Chiari Malformation has been defined as the cerebellar tonsils descending more than 3-5mm out of the skull. However, research has shown there is no real correlation between the amount of descent (or herniation) and clinical symptoms. Some people with herniations of less than 3mm are extremely symptomatic and some people with quite large herniations are symptom free. Because of this, doctors are now focusing on whether the cerebellar tonsils block the normal flow of cerebrospinal fluid (CSF). The current theory is that disruption of CSF flow is a more important measure than the size of the herniation."
So they're saying that what i was diagnosed with, and why they refuse to look into my symptoms has no correlation with my symptoms in the first place?
So my question is this; Does anyone know of a doctor that won't give me the run around, and might actually give me some constructive advice? I know that is asking a lot, but I'm desperate at this point.
Hi and welcome to the Chiari forum.
As the other members have mentioned it is typical for traditional Drs to give us the brush off or as well call it here, "the Royal Chiari Run Around"....there are Drs that know it is CSF flow so a CINE MRI is what u need next...Chiari is not the herniation but the skull being malformed causing the tonsils to herniate.
And u r so right someone can have a herniation of 13 mm and have no symptoms. While someone with a 3mm herniation is in severe agony.
The width of the herniation and if it is obstructing CSF flow , if u have compression of the nerves and brain stem are more of concern then how long they are...sigh....one day Drs will have more education on this condition, until then we have to educate ourselves and then share it with our Drs.
Related conditions can also cause many of the same symptoms so if ur Drs have not ruled them out, u do not want to consider surgery as an option....and if u have a syrinx u may want to consider it ...I know it sounds like a barbaric way to treat this, but really there is no other way to open up the CSF flow...
We do have a list of Drs for u to use to research...the list is not an endorsement or a referral...know u may need to travel....and our list is not all inclusive either,....http://www.medhelp.org/health_pages/list?cid=186