However, the headaches have continued to get worse. They are
really scary when I'm sick, but now are also rather bad when I'm healthy. The
headaches were unbearable when I had bronchitis over the holidays. For 3 weeks
I would cough and hack, then just hold my head steady until the blinding pain
subsided. This happened during our Christmas vacation when we were traveling
and visiting relatives. I had to have hubby drive because I couldn't risk
having a coughing fit/blinding headache when I was driving.
I went back to my primary early January and said we have to
do something; I can't live like this anymore. This time he sent me to a
neurologist.
The neurologist said that I have a classic case of cough
headaches. (He was surprised that no one sent me to a neurologist sooner.) About
half of cough headaches have no cause that we can see, and are treated with
medication. The other half are caused by a Chiari malformation, which is a structural
defect that causes cerebellum to be forced
through the opening at the base of the skull into the spinal cord. Researchers
estimate that about 1 in 1,000 people have Chiari malformations. Symptoms often
do not develop until adulthood. He gave me a script for the medication and sent
me off for a MRI.
My MRI of the brain showed a Chiari malformation. The
radiologist recommend (& my neurologist agreed) to have me come back for an
MRI of the cervical spine to see how big the displacement. We found out: 15mm. The
neurologist told me most people with a Chiari malformation start to feel symptoms
around 7 mm; mine is doubled that. My brain is being forced into my spinal
column by 15 mm! The neurologist said to skip the medication (and its
side-effects) and sent me on to a neurosurgeon.
The neurosurgeon said I have a classic case of Chiari
malformation. He recommends decompression surgery. The surgery is routine, he’s does them “all
the time.” My surgery is scheduled for March 9. I need to go through
Pre-Admission Testing and medical clearance from my primary for the surgery.
Then it was back to the neurologist for my follow up
appointment. I asked the neurologist about the risks/benefits of the surgery
and his recommendation. He said in addition to the large Chiari malformation, I
am developing a Syringomyelia,
or syrinx, which is CSF-filled tubular cyst that forms within the spinal cord’s
central canal. This is very common with Chiari malformations. The growing
syrinx destroys the center of the spinal cord (you can figure out the rest).
Not only does my neurologist recommend surgery, he said, “If you were my
daughter, I’d recommend doing it soon.” He also said I need an ENT consult
because the MRIs showed that I have a parapharyngeal mass which must be cleared
before surgery.
I'm sorry I haven't said anything before because it has been
overwhelming for me. I've had several doctor visits and imaging tests in the
last few weeks. (I also squeezed in a resume and cover letter during those
weeks.) Every time I start a post I get pulled away and I lose my train of
thought.
So I have decided to have the surgery. Next up,
Pre-Admission Testing, ENT consult, and clearance from my primary.
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