Chiari Malformation Type 1

Disneychick75

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My daughter who is 21 weeks pregnant was told she has this condition today after an MRI for debilitating headaches. She is seeing a neurologist and will meet with a neurosurgeon to discuss surgical options after the baby is born.
Does anyone know about this condition, maybe have helpful information? I've searched the internet and have found articles but would appreciate information from someone with a more personal connection rather than a scholarly article or wikipedia. Thanks
 
I honestly don't remember if my daughter's was any particular Chiari malformation, but she did have one. She was born with a condition called Crouzon's, which can have several other conditions that may or may not manifest then or later on. When she was five we suddenly realized she had a curve in her spine. (Horrifying weekend when we we discovered that!). Apparently it turned out that her hydrocephalus and the Chiari Syndrome had 'teamed up' so to speak and the Chiari malformation had blocked the top of her spine, trapping the cerebrospinal fluid in her head and in her back, leaving no way for it to travel up and down. A few months before we discovered her curve she had had some temperament changes that the day care had noticed. Moodiness and so on. Apparently we didn't realize it was affecting her sleep apnea more than normal and also giving her some headaches. However, once she had that top bone of the spinal column widened the fluid could move up and down freely again. And, she had to have a shunt replaced in her head again and had one in her back for a spell, until her back surgery later on for Scoliosis.
As to any problems with someone while they are pregnant I couldn't give you much help there. I would only say definitely keep an eye out for any spinal problems, and I'm sure the doctor will be keeping a strong eye out for any neurological problems during the pregnancy, including headaches and possible seizure activity. Good luck to your family during this time.
 
Thank-you, so much for your reply! My daughter also has a herniated disc at C5-C6. I wonder if that could be as a result of the Chiari? Luckliy, I found a neurosurgeon about 1.5 hours from our house who specializes in Chiari Malformations. She sees a neurologist but CM is not his specialty. From reading, I know about the curvature problems.
We had to take her to the ER 3 weeks ago because she "zoned" out. I told the ER doctor that it reminded me of an absence seizure one of my friends used to get in college. Maybe she did have a seizure. He thought it was a reaction to one of her meds, however, she has had to continue that medication and never had a reaction to it either before that night or since.
I'm going to call the specialist right now and schedule an appt. DD cannot have the surgery until after the baby is born but at least she could meet with him and he could get her MRIs, etc. and get to know her case now. Better than waiting until after the baby is born in Dec. and then have to start,
Thanks again for your reply. You have helped.
 
I was diagnosed with Chiari malformation 1 in November of 2010 and had surgery a week later to fix it. I was at Disneyland in September of 2010 and rode the Tower of Terror. As soon as I got off it, I was suffering really bad headaches. It was so bad that when we had dinner at the Blue Bayou my head was down on the table nearly the whole time. After the trip, my headaches were almost constant. I'd wake up in the middle of the night with my head hurting. On top of that, I had constant flashes and floaters. Sometimes in the middle of the night I couldn't see at all. You know how when you get up in the middle of the night you can at least see the outline of your bed or window? One night in late October 2010 I woke up and was completely blind for about 15 seconds. I immediately freaked out thinking it was a detached retna. I woke my DH up and said I was going to the ER and that I wanted him to stay home with the kids. The ER doctor couldn't find anything wrong, so he referred me to a neuro opthamologist. That doctor did tests on my eyes and diagnosed me with chiari malformation 1. I was then referred to a neurosurgeon. I had surgery and immediately after my eye sight was back to normal and my headaches were gone. One highlight of this was my neurosurgeon was hot!!! He was 40 years old and what a babe. LOL!!! :rotfl2: Right after my surgery I was dying of thirst and couldn't understand why my nurses would only fill my water half way. I drank SOOOO fast that it caused me to throw up in bed TWICE in ten minutes. My poor nurses, but they were great. The scary thing is is if I had ignored this, I would have gone blind and that's one of my biggest fears in life. My neuro opthamologist said my eyes were REALLY bad. I had no idea how bad. But I wish luck to your DD! :thumbsup2
 

Thanks Disneyland for your reply! We're hoping that the surgery will help DD. She can't have it though for at least 5 months. The Chiari neurologist is also hot- what is it about this correlation?:sunny:
DD has also had vision problems and a couple of times, she was not able to see at all. Hers lasted only a few seconds though. She has inflamed optic nerves according to her ophthalmologist.

Thanks for the good wishes. It's great to read of your successful surgery!
 
My friend's daughter has a Chiari malformation. I'm not sure if it is the same type. She had a surgery when she was around one to remedy it, but I guess it's a surgery she may need again as she grows. She's super happy and healthy now.

It was hard to get the diagnosis though. From my understanding, it's not a widely known issue. It did take almost a year of doctors and different tests to find it in her daughter.
 
That's great that you found a neurosurgeon that specializes, because there are too many doctors out there that don't know much about Chiari.
My first suggestion is to educate yourselves as much as possible. Have your daughter join an online support group for Chiari, she will learn lots from it! The support group I joined many years ago is defunct now, so I don't have a suggested group. I do suggest education before visiting a doctor, because then you can tell how much the doctor really knows about Chiari. There were times I knew more about Chiari that the doctor I was visiting. Back then there was far less research, so I'm hoping things have changed by now! My doctor's website has good info about Chiari: http://chiaricare.com/
Because the brain is herniated thru the bottom of the skull, tipping the head way back or forward can cause problems. It's possible that's what caused the zoning out your daughter experienced. That's also why riding some rides can affect us.
I'm no longer up to date on the latest Chiari news, having had my surgery in 2002, but have your daughter look into suggested delivery methods for Chiari patients, and discuss them with her doctor. Back then there was discussion that having natural childbirth could cause the herniation to get worse, and some doctors suggested C-sections.
The malformation can block the free flow of spinal fluid, trapping more fluid inside the skull and increasing the intercranial pressure, causing the headaches and sometimes pressing on the optic nerve, causing sight problems. An easy suggestion to try is to sleep with the head of the bed elevated, head positioned higher than laying flat, helping to keep the fluid flowing a little bit better.
I'm really rusty on this stuff anymore, but I hope this has helped some!
 
That's great that you found a neurosurgeon that specializes, because there are too many doctors out there that don't know much about Chiari.
My first suggestion is to educate yourselves as much as possible. Have your daughter join an online support group for Chiari, she will learn lots from it! The support group I joined many years ago is defunct now, so I don't have a suggested group. I do suggest education before visiting a doctor, because then you can tell how much the doctor really knows about Chiari. There were times I knew more about Chiari that the doctor I was visiting. Back then there was far less research, so I'm hoping things have changed by now! My doctor's website has good info about Chiari: http://chiaricare.com/
Because the brain is herniated thru the bottom of the skull, tipping the head way back or forward can cause problems. It's possible that's what caused the zoning out your daughter experienced. That's also why riding some rides can affect us.
I'm no longer up to date on the latest Chiari news, having had my surgery in 2002, but have your daughter look into suggested delivery methods for Chiari patients, and discuss them with her doctor. Back then there was discussion that having natural childbirth could cause the herniation to get worse, and some doctors suggested C-sections.
The malformation can block the free flow of spinal fluid, trapping more fluid inside the skull and increasing the intercranial pressure, causing the headaches and sometimes pressing on the optic nerve, causing sight problems. An easy suggestion to try is to sleep with the head of the bed elevated, head positioned higher than laying flat, helping to keep the fluid flowing a little bit better.
I'm really rusty on this stuff anymore, but I hope this has helped some!

Her OB told DD that she has to have a c section because she cannot strain. I'll get my husband to go and elevate her bed, thanks for the suggestion! She does sleep with a travel pillow that wraps around her neck because she says this eases her pain.
 
My friend's daughter has a Chiari malformation. I'm not sure if it is the same type. She had a surgery when she was around one to remedy it, but I guess it's a surgery she may need again as she grows. She's super happy and healthy now.

It was hard to get the diagnosis though. From my understanding, it's not a widely known issue. It did take almost a year of doctors and different tests to find it in her daughter.

DD is extremely fortunate that hers was diagnosed so soon. She was actually having an MRI of her neck to see if something there was causing her excruciating headaches and that's when the Chiari M was found.
So happy to read that your friend's daughter is doing so well!!!
 
That's great that you found a neurosurgeon that specializes, because there are too many doctors out there that don't know much about Chiari.
My first suggestion is to educate yourselves as much as possible. Have your daughter join an online support group for Chiari, she will learn lots from it! The support group I joined many years ago is defunct now, so I don't have a suggested group. I do suggest education before visiting a doctor, because then you can tell how much the doctor really knows about Chiari. There were times I knew more about Chiari that the doctor I was visiting. Back then there was far less research, so I'm hoping things have changed by now! My doctor's website has good info about Chiari: http://chiaricare.com/
Because the brain is herniated thru the bottom of the skull, tipping the head way back or forward can cause problems. It's possible that's what caused the zoning out your daughter experienced. That's also why riding some rides can affect us.
I'm no longer up to date on the latest Chiari news, having had my surgery in 2002, but have your daughter look into suggested delivery methods for Chiari patients, and discuss them with her doctor. Back then there was discussion that having natural childbirth could cause the herniation to get worse, and some doctors suggested C-sections.
The malformation can block the free flow of spinal fluid, trapping more fluid inside the skull and increasing the intercranial pressure, causing the headaches and sometimes pressing on the optic nerve, causing sight problems. An easy suggestion to try is to sleep with the head of the bed elevated, head positioned higher than laying flat, helping to keep the fluid flowing a little bit better.
I'm really rusty on this stuff anymore, but I hope this has helped some!

This new edit feature takes some getting used to I see. lol In reference to a support group if you or your daughter are on facebook, there is already a Chiari Support group there! I am a part of it since our daughter had had surgery for it. :)
 
Thank-you, so much for your reply! My daughter also has a herniated disc at C5-C6. I wonder if that could be as a result of the Chiari? Luckliy, I found a neurosurgeon about 1.5 hours from our house who specializes in Chiari Malformations. She sees a neurologist but CM is not his specialty. From reading, I know about the curvature problems.
We had to take her to the ER 3 weeks ago because she "zoned" out. I told the ER doctor that it reminded me of an absence seizure one of my friends used to get in college. Maybe she did have a seizure. He thought it was a reaction to one of her meds, however, she has had to continue that medication and never had a reaction to it either before that night or since.
I'm going to call the specialist right now and schedule an appt. DD cannot have the surgery until after the baby is born but at least she could meet with him and he could get her MRIs, etc. and get to know her case now. Better than waiting until after the baby is born in Dec. and then have to start,
Thanks again for your reply. You have helped.
It would be difficult for me to speculate if her herniated disk is a result of her Chiari syndrome, since they can be herniated so many ways! I.E. Both my sister, my mom and I have/had herniated disks in our neck areas. lol Right now, I have three and they are a real pain. lol I don't think Faith's showed any problems in that area, her bulge in her back showed up in the middle area of the back in her case. But, in talking with other families on our Crouzon's support group, several of the girls on it had to be watched for the Chiari Problem as well, since the bulges in the back tended to take all forms. For example Faith's took up a big balloon shaped bubble in her back, while at least one of the girls had tiny bulges that went up and down the length of the spine that looked like beads up and down her spine. You might get her to ask her doctor though if barring anything else, it might have caused that herniated disk.
 
It would be difficult for me to speculate if her herniated disk is a result of her Chiari syndrome, since they can be herniated so many ways! I.E. Both my sister, my mom and I have/had herniated disks in our neck areas. lol Right now, I have three and they are a real pain. lol I don't think Faith's showed any problems in that area, her bulge in her back showed up in the middle area of the back in her case. But, in talking with other families on our Crouzon's support group, several of the girls on it had to be watched for the Chiari Problem as well, since the bulges in the back tended to take all forms. For example Faith's took up a big balloon shaped bubble in her back, while at least one of the girls had tiny bulges that went up and down the length of the spine that looked like beads up and down her spine. You might get her to ask her doctor though if barring anything else, it might have caused that herniated disk.

Thanks for the added information!
 
This new edit feature takes some getting used to I see. lol In reference to a support group if you or your daughter are on facebook, there is already a Chiari Support group there! I am a part of it since our daughter had had surgery for it. :)
Thank-you, I'll tell her. She really can't read much right now because her vision is affected and her headaches are so bad, but I'll read to her.
 
Earstou, the neurologist she was seeing didn't think her CM warranted treatment because the descent was only 10mm which is why I said "was seeing". We were livid. DD has not been able to sleep or eat much in the last 6 weeks due to headache, neck, and shoulder pain. On a CM discussion board, someone mentioned that if a doctor says the descent is not bad enough, find another doctor.
On Monday, she'll she a neurosurgeon and she'll ask for a referral in the neurologist section of the practice. Praying that he will be able to make suggestions on diet, etc.
Thanks everyone for your replies. We appreciate them and you!!!
 
I have Chiari 1.. I say have, because in reality there is no cure. I have had a few surgeries, and would love to say great things, but my story is not typical. My first surgery was before the decompression, and was basically life/death. The important thing to find out is if she has a syrinx.http://asap.org/index.php/disorders/syringomyelia/ . A true specialist will look for have this checked with the radiologist on the MRI, also did she have a full spinal one done as well? Mine was missed as they did not do this at first, so if they don't do a spinal MRI, it probably won't be seen, and it is very important to know in CM patients..

I then had my decompression, but I leaked from my patch. Unknown at the time was that I had Ehlers-Danlos syndromes (EDS), and I rejected it. So I had to go back in and have shunt put in, thankfully that worked. I am on several message boards, and to be honest, this is a common factor with CM patients, NOT ALL, but it is common.. Genetic testing should be done before anyone has the surgery, sadly I only did all that research after the fact. I agree with the poster who mentioned joining groups, the wealth and support you get there is unbelievable. I wish I had the time beforehand, but I am still an active member, as this can come back anytime. I have MRI's every 6 months.

I had my decompression in 2010, and only went back to work this June 1015, I had a small brain bleed and have been in therapy for about two years to get some memory back, it is as good as it gets, but far from 100%.. Compared to what it was when I started leaking CSF fluid, and prior to my surgery, I realize I am lucky. I hope I didn't say anything too scary. Just do your research, your daughter as well. I say about 3 doctors before I was comfortable to choose. Bedside manner mattered as much as credentials to me.

If I can help answer anything, although my memory is not great ;), I would be glad to.
 
I have Chiari 1.. I say have, because in reality there is no cure. I have had a few surgeries, and would love to say great things, but my story is not typical. My first surgery was before the decompression, and was basically life/death. The important thing to find out is if she has a syrinx.http://asap.org/index.php/disorders/syringomyelia/ . A true specialist will look for have this checked with the radiologist on the MRI, also did she have a full spinal one done as well? Mine was missed as they did not do this at first, so if they don't do a spinal MRI, it probably won't be seen, and it is very important to know in CM patients..

I then had my decompression, but I leaked from my patch. Unknown at the time was that I had Ehlers-Danlos syndromes (EDS), and I rejected it. So I had to go back in and have shunt put in, thankfully that worked. I am on several message boards, and to be honest, this is a common factor with CM patients, NOT ALL, but it is common.. Genetic testing should be done before anyone has the surgery, sadly I only did all that research after the fact. I agree with the poster who mentioned joining groups, the wealth and support you get there is unbelievable. I wish I had the time beforehand, but I am still an active member, as this can come back anytime. I have MRI's every 6 months.

I had my decompression in 2010, and only went back to work this June 1015, I had a small brain bleed and have been in therapy for about two years to get some memory back, it is as good as it gets, but far from 100%.. Compared to what it was when I started leaking CSF fluid, and prior to my surgery, I realize I am lucky. I hope I didn't say anything too scary. Just do your research, your daughter as well. I say about 3 doctors before I was comfortable to choose. Bedside manner mattered as much as credentials to me.

If I can help answer anything, although my memory is not great ;), I would be glad to.

Thank-you for sharing, mommasita. DD has had brain and neck MRIs but not full spinal yet. I guess when she sees the neurosurgeon Monday, he will order one.

DD was fine as far as we know until about 6 weeks ago when she began getting horrible head, neck, and shoulder pain. In that time, she has had pain down her back and legs. Her vision has deteriorated to the point that she can't see well enough to drive or read for very long. When she closes her eyes and then reopens them, all she sees is blackness for a bit. Her balance is off. All of these have developed in a short period of time. Is this how most people with CM present?
 
Yes, I hope he orders one. Some are hard to talk to, some are easy. They are Brain surgeons after all. When I go now, I just simply say I would really appreciate if you could also request the full spinal in case there is another syrinx, "WHAT DO YOU THINK".. I find they need to have that power, they are after all the specialists. The one that was my surgeon was just brilliant, and I can't say enough about it. Stayed with me overnight, came in at 2am when I was leaking at home, I was ill over him numerous times. He let me out for a 24pass when I begged and cried, he kept my bed open, as he was sure I would need to go back. Aside from his brilliance, he was just what i needed, he was kind. You brain is operated on, and you are extremely emotional. This is why the groups are very good, they are also good for support systems such as yourself.. The wealth of knowledge and caring is honestly unreal. They are families. We have fundraisers hoping to make it more known, there are DR's who do not know what it is, neuro's for goodness sake.

Off my rant..

I don't know about most people, but after 5 active years in groups, A LOT of people yes.. Myself I was working, and just getting sicker and sicker. RAPID loss of weight, balance, vomiting, etc. The headaches were as you describe for your daughter. I would lay in bed and just almost want to never ever get up. My children were in much younger, they are now 16 and 19, but my husband did not know what to do. It took about 2-3 months of testing, the Neuro surgeon said to my husband this is so bad if I wait 3 months, your wife may not be here. A week or so later is when the syrinx gave me a hard time let's say.. So I had to wait to be healthy enough to be able to undergo the surgey. THe herniation has no bearing on how bad it is. Any Dr that says that, RUN FAST.. Mine was 6.99 below, and by the time of surgery was 17, 3 , because I was not fit for surgery for a while. My surgery was supposed to be 5 hours, it was 9, the longest it was safe..

But yes, from the forums and members I speak with, and stories I read, it happens fast. Also what I think is minor things happen over the years but we just push them off you know? oh just a headache, or I am prone to migraines. Until the falls happen, or for me I was dropping everything, falling down stairs. They were sure I had MS. My vision was always ok, except during the migraines..

I have to say for some positivity, I am on a pill 2x a day for preventative migraines, and it helps immensely. I still have prescriptions for migraines, but unless I am under a lot of stress , I hardly need them.
I go next week for my MRI"s.. 2x a year.. My surgeon told me it will grow back, we never know when. It can be in a year, 10, 30.. Nobody knows..
 
Yes, I hope he orders one. Some are hard to talk to, some are easy. They are Brain surgeons after all. When I go now, I just simply say I would really appreciate if you could also request the full spinal in case there is another syrinx, "WHAT DO YOU THINK".. I find they need to have that power, they are after all the specialists. The one that was my surgeon was just brilliant, and I can't say enough about it. Stayed with me overnight, came in at 2am when I was leaking at home, I was ill over him numerous times. He let me out for a 24pass when I begged and cried, he kept my bed open, as he was sure I would need to go back. Aside from his brilliance, he was just what i needed, he was kind. You brain is operated on, and you are extremely emotional. This is why the groups are very good, they are also good for support systems such as yourself.. The wealth of knowledge and caring is honestly unreal. They are families. We have fundraisers hoping to make it more known, there are DR's who do not know what it is, neuro's for goodness sake.

Off my rant..

I don't know about most people, but after 5 active years in groups, A LOT of people yes.. Myself I was working, and just getting sicker and sicker. RAPID loss of weight, balance, vomiting, etc. The headaches were as you describe for your daughter. I would lay in bed and just almost want to never ever get up. My children were in much younger, they are now 16 and 19, but my husband did not know what to do. It took about 2-3 months of testing, the Neuro surgeon said to my husband this is so bad if I wait 3 months, your wife may not be here. A week or so later is when the syrinx gave me a hard time let's say.. So I had to wait to be healthy enough to be able to undergo the surgey. THe herniation has no bearing on how bad it is. Any Dr that says that, RUN FAST.. Mine was 6.99 below, and by the time of surgery was 17, 3 , because I was not fit for surgery for a while. My surgery was supposed to be 5 hours, it was 9, the longest it was safe..

But yes, from the forums and members I speak with, and stories I read, it happens fast. Also what I think is minor things happen over the years but we just push them off you know? oh just a headache, or I am prone to migraines. Until the falls happen, or for me I was dropping everything, falling down stairs. They were sure I had MS. My vision was always ok, except during the migraines..

I have to say for some positivity, I am on a pill 2x a day for preventative migraines, and it helps immensely. I still have prescriptions for migraines, but unless I am under a lot of stress , I hardly need them.
I go next week for my MRI"s.. 2x a year.. My surgeon told me it will grow back, we never know when. It can be in a year, 10, 30.. Nobody knows..

Thanks so much. DD's symptoms began and progressed so quickly that she was terribly scared as was her partner, and my husband and me. Do you know if caregivers of those with CM are welcome on the discussion boards?
Praying for all who have posted and their loved ones.

Edited to add: I appreciate the information about handling the doctors with kid gloves. :)
 
Thanks so much. DD's symptoms began and progressed so quickly that she was terribly scared as was her partner, and my husband and me. Do you know if caregivers of those with CM are welcome on the discussion boards?
Praying for all who have posted and their loved ones.

Edited to add: I appreciate the information about handling the doctors with kid gloves. :)
As to family members on the boards, I have found no problem on them. It is about asking for info and sharing and many have family members as well as the person afllicted. :)
 














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