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MRI limitations

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Dear Listmates:

Last week was a roller coaster week for us.

Dr. Burchiel has decided to do the surgery for ,

and we learned some interesting new information in

the process that might prove helpful to someone.

Her MRI showed a definite herniation of 7-9 mm,

and her symptoms were classic Chiari symptoms.

However, the CINE MRI showed no flow obstruction.

Dr. Burchiel believed that unless there was pressure

buildup around the brain from blocked spinal fluid,

surgery would not help.

He decided to consult with a colleague and get back to us.

Much to his credit, Dr. Burchiel had an extensive

conversation with Dr. Carmel in New Jersey and learned

that the fluid blockage and resulting buildup of pressure

often happens in an UPRIGHT position, not lying down as

MRIs must currently be done.

Until it becomes possible to do a verticle MRI, certain

symptoms point to the blockage of CSF when the patient

is standing and moving around. These seem to be:

a dry cough or a cough headache

a throbbing headache brought on by exercise

a feeling of pressure or pain when bending over

dizziness and balance problems when standing

blacking out while standing

Based on these symptoms, 's other MRI results,

and her history, surgery is being scheduled.

These are specific to , and may or may not indicate

the same things in someone else, and of course there may

be other such symptoms that she does not have. This is

also one doctor's opinion. I just thought it interesting enough

to share with the group.

Many blessings to all!

Diane

Mom to

Chiari 1, 7-9mm

surgery in June

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