Guest guest Posted May 29, 2008 Report Share Posted May 29, 2008 Hi all, I want to mention this about Syringomyelia. When I was diagnosed with Chiari, my GP didn't mention anything at all to me about the Syrinx I had developed. I just want to let the newer members know that there is a chance they could already have Syringomyelia as well as Chiari. Because my doctor knew so little about every aspect of these illnesses, he had no idea of the importance of my knowing how seriously ill I was. 2 years after the original diagnosis, I found out that I had syringomyelia and I had a syrinx going from C-1 to T-5. This is something I had to find out about on my own by reading my written radiology report and, when I would come across words I couldn't understand, I put them in a search on the web. This is what led me to the support group I joined first and in turn was then led to the Brilliant neurosurgeon, Dr Oro. He was involved in a study on Chiari along with Duke University. Even though I have damage that can not be repaired because the syrinx had become so huge, I am so thankful I had the surgery done and, I feel it was a huge success mainly because it stopped the progression of both Chiari and Syringomyelia. Please keep in mind the fact that both of these disorders are progressive and, one of the most important facts about the size of both of either of them and how the size affects our bodies, etc. can be very confusing. The Chiari herniation I had was 10mm, however, it could have been much shorter and still, it could have caused the same problems. The most important thing as far as the size is....How much fluid is blocked. A person may have a Chiari herniation that is considered, by a doctor who doesn't have current info about the illness, to be so small they may think it won't be causing symptoms when, in fact, it can be almost blocking all normal spinal fluid flow. This is what will cause the body to create a syrinx. Our head, if the blockage is severe, will fill with the fluid and, continue to fill until we make a move ( maybe just a simple turn of our head) that will let the fluid formally trapped in our head, come out of that area and gush down rapidly. The amount of fluid that gushes out finally, over time) becomes a huge problem because the body must somehow compensate for all of this extra spinal fluid. This is when a place is created inside the spinal cord called a syrinx (syringomyelia).....Once again size becomes so very important. A syrinx can become quite long, yet, not cause damage to the spine. The important factor about the size of one is " How large around it becomes " If it continues to fill and the breadth of it becomes so large it begins to cause the bones to be damaged. Once the damage is done to the spinal column, in most instances, can't be repaired. If you have a syrinx, but, it hasn't progressed to the point of damage, please...consider getting the surgery ( decompression) Because this illness is a syndrome and more is being found out about it all the time, many of us are seeing a doctor who knows very little about it, and for certain there have been many, many patients, like myself, who have been ill-advised as far as the size of the herniation of the brain and when surgery should be done, etc. The same can be said about a syrinx. Several people have a very long syrinx or even more than one, yet, may still have the time to get surgery and have their lives back, without all of the pain, etc. caused if the spine becomes damaged. When I first became a member of a support group, I was very ill. I would read the posts and, pretty much scan through many of them, feeling that they had nothing at all to do with my situation. If I didn't see the word Chiari, I felt it wasn't anything I needed to read. Imagine my shock after realizing a " Syrinx " and ( a word I saw in my med report) " Syringomtelia " were the same thing. When I was told I had Chiari, my GP didn't seem at all concerned about it. I had seen him many times because of the headaches, numbness, arm and hand pain, tingles, and so on until he finally ordered an MRI, but, when telling me what the problem was, he patted my shoulder and said, " Looks as if you have a little birth defect in your neck. " He didn't even put a name to it, for me. He was so nonchalant. I didn't even worry about it until the pain began affecting my life two years later. As I was reading my original MRI report, I found out that I had Syringomyelia as well as Chiari. It had NEVER been mentioned at all. This was the point in my life when I realized a doctor is only as good as he wants to be and, after going to so many other doctors looking for someone to help me, I learned just how unethical many can be. I wonder why I was so shocked and depressed about this, after all, how can we expect a human to have all of the knowledge we might expect them to have. This is a rare condition ( not as rare now as before the MRI machine was invented) I can understand why most doctors know little about it. What I will never understand and what continues to haunt me is How can a doctor put our lives in such danger when they lie and claim to know all about these illnesses.....claim to be experts, and, all the while they are wasting our precious time, time we could be using to find a Chiari surgeon. So far, the only treatment for Chiari is brain surgery. Most people who have developed a syrinx can still be helped so much by a decompression. For some reason, if there is a syrinx present, it will become empty once the Chiari decompression surgery is done. They usually do not become empty immediately but, over a period of time and when the 3 mo post-op check up is done, the syrinx is usually empty. I'm posting this today to persuade any newly diagnosed members to get out their radiology report, and, word for word, do what it's possible your GP didn't do....know what it says, and, know what those words mean. If you can't find out on your own, ask a support group for help. Most members are more than happy to help you understand what it all means. I hope I have helped someone. My prayers are always with you each. Warm Regards, Judy Marie ____________________________________________________________ Zappos Shoes Shop Zappos with a FREE $100 Gift Card from us! Click Here. http://thirdpartyoffers.netzero.net/TGL2241/fc/JKFkuJkEL5P5EfXPToDEutLl5SZEaagIv\ 0mMG3W0oMsF1qFgHv75j7/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2008 Report Share Posted May 29, 2008 i had a syrinx. the reason it becomes smaller after decompression surgery is because the surgery corrects the situation that causes the syrinx; think of it this way (this is how i have always explained the chiari condition to friends); chiari is a congenital malformation in which the brain stem is improperly situated on the spinal cord; it creates a cork in a bottle effect, more or less. the fluid that is circulated around the brain cannot dissipate properly and is forced down inside the spine. when our wonderful doctors successfully decompress us, this eliminates the cork in the bottle and with any luck, nature takes its course and allows the body to eventually aborb the fluid inside our spines. i was decompressed four years ago at robert wood johnson medical center, new brunswick, nj, by a top notch young neurosurgeon named mike nosko; he was amazing and was in my medical plan, surprisingly. my surgery went so well and was very successful. the damage that was already done prior to surgery does not go away; i have weird symptoms still, such as burning in my right bicep and an itchy outer ear, along with that capelike numbness over the shoulder and neck. when i consider what i could be dealing with today had i not had the surgery, this is minor stuff. i wish you all well- debbie **************Get trade secrets for amazing burgers. Watch " Cooking with Tyler Florence " on AOL Food. (http://food.aol.com/tyler-florence?video=4 & ?NCID=aolfod00030000000002) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2008 Report Share Posted May 30, 2008 I totally agree with you on this one. The first neuro I saw said to me " you have Chiari and it will cause headaches, we will keep an eye on it " never said when where or anything else, and when I did go back in with worsening symptoms she just said, " it can't be causing my pain in the back of my skull, thats " occipital neuralgia " fast forward to one year later and several different symptoms I go and see a teaching college neurologist, who does several other tests and notes I have strange both absent and hyper relfexes, sensory neuropathy symptoms, pressure headaches, etc. etc. He ordered a cervical/thoracic mri and there it is, a syrinx. This one mind you is very small only 1.3 cm in size, but he isn't hesitating!! He set me up an appointment with a neurosurgeon to discuss possible surgery. I was very very thankful for a neurologist who listens, looks at the MRI iteself and doesn't just " read the report " . I asked the first neuro how long the herniation was and she said she didn't know, she just read the report. Please always take this condition seriously, I'm not sure if the neurosurgeon will suggest the operation or not, but am very happy to be discussing this with someone that understands and listens and takes both you and the condition seriously. Both myself and my daughter who is now 12 have this, both have about a 10 mm herniation. Thankfully for us she doesn't have a syrinx in her spine and we are watching her very very closely. They told me that they will do repeat MRI's on her every 6 months to a year or sooner if she develops any symptoms, right now she is symptom free except for a small bit of orthostatic hypotension that comes and goes. We are both being treated by a teaching college that is outstanding!!! I see their adult neuro and she is scheduled to see a peds neuro at the same center. I feel God has put us in the place he wants us to be to get the care we need and I thank Him everyday for that. It was a long journey for us to get here. Too many " quacks " to mention. I have had chronic headaches for at least 20 years, of course got every kind of diangosis under the sun for those. It wasn't until a major autoimmune flare in which I was hospitalized for, that the bloodwork and MRI's that they discovered the chiari and syrinx for me. Fortunatley the autoimmune side is very mild for me, as the flare was over a year and a half ago and was due to my thyroid autoimmune disease, which is extremely common. But you need to take all this seriously and find a good doctor that will listen, and I know that is so hard sometimes. But in time I believe this condition will get the recognition it needs and so many of us are fighting that fight for those yet to come up with this, especially our own families and children as in my case. I have a son too who is 14, and so far he doesn't have any symptoms, but we are watching him closely and will have him checked for this too if the time comes where we suspect it could be, but fortunatly it's just myself and my daughter right now. God be with you all, Blessings, BJ Quote Link to comment Share on other sites More sharing options...
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