Well, as many of you know I had some ER visits and doctor appointments in the past weeks. Possibly my head is spinning even more, or at least one doctor gave me some 'possible' answers/opinions. I honestly don't even know where to start, but here we go:
It has been confirmed for sure that I have this condition called
(Kee-AR-ee) Chiari I Malformation
(some refer to it as Arnold Chiari). {I'll try to give a simple explanation} The lower part of the base of your brain descends into the spinal canal which is down through the hole in the base of the brain. Around that area is what is called the cerobrospinal fluid (CSF), your brainstem, and all your cranial nerves. This malformation can cause compression on this area, and possibly disruption to the CSF flow. **these are possiblities and depending on the degree as to how much the brain is descending can create symptoms, and sometimes people have this and no symptoms....there are also additional issues that can come along with this malformation, but I don't currently have those, so enough.
WELL, the problem is that my MRI's show this condition, BUT also supposedly show some edema, inflammation (and some other term??) in where my surgical area was for my tumor removal. The neurosurgeon yesterday said there is no room in peoples heads for our brains to expand and that is why any type of inflammation, etc can cause pressure, pain, problems anywhere throughout the brain & head. UGH!!!! Yes, it makes sense! He said though that it is to hard to tell for sure what is causing my symptoms and I need to refer back to my neurotologist who did my tumor removal 1st, AND to give it time for things in my brain to settle down . He said give it at least a year....you went through some major surgery and had some big complications post surgery. I said that I WAS doing good, but suddenly had this major pain/pressure flare up a month ago. He said that may happen due to my situation, but we could tell I have been getting better again, so recouping does work.
The neurosurgeon I seen last week only seemed to look at the Chiari, and didn't mention anything about my previous surgical area (and he assisted on that tumor removal). I gave up in his office after he kept repeating the same thing, etc and I was upset, crying and just wanted to leave, so didn't get to asking more questions. Since he only focused on that one area, his response was: There is no way this Chiari is causing your symptoms because of the way he viewed 1 MRI. Then he said I just have headaches, but not sure what kind and said Lyrica would be good for that. I even said, "NO they are not just headaches". I asked why my balance got so bad again and my tinnitus showed up 3 months post surgery. Then he goes on to talk about balance will never be good, and there was another surgical option for that and tinnitus, that named some other option (can't even remember I was so flustered). I was done.
Now yesterdays neurosurgeon said "Yes, definately this Chiari can be causing all your symptoms", BUT there is the previous surgical issue. O.K. now that makes more sense (now that I know there is more going on in there). So I asked if I didn't have stuff from the tumor surgery, what are the options for the Chiari? His take on it was that he don't believe in physical therapy, etc. The only way to take care of it was surgery. Well, I know there is no returning it to normal without surgery, BUT wouldn't therapy help with the pressure and pain some??? He said I can do what I want and do discuss it with my internest. {don't matter because there is
NO WAY I could go through another major brain surgery for who knows how long...NO WAY!!!}
So, now I send MRI & CT reports and CD's back to Detroit, follow up to see what internest says next week, and ya know.......depending on what neurotologist says from Detroit....may be getting another opinion too. UGH, UGH, UGH!!!
I have been feeling more on the up the past week and off some major pain meds I've been on since my ER trips, so I am recouping by doing nothing and taking it easy. But I'm SCARED, to say the least. Daily dealing with something of pain or pressure, but how much and what flares it can change in an instant. Basically....it all just stinks!
(don't know what else to say)
So, that is once again my update. Always lengthy I know. We'll just see what next week has to bring. Maybe some better answers??
Thanks for reading 'listening'
Denise