A member asked:

I have chiari and neurofibromatosis both type 1, with a neurofibroma around c7. my headaches are daily and pretty intense. is surgery a good option?

A doctor has provided 1 answer
Dr. Gerald Mandell answered

Specializes in Nuclear Medicine

If true chiari pain: Typical headache in chiari i patients is occipital pain with coughing, sneezing, lifting, etc.).Have to differentiate between primary headaches such as migraines or tension pain, and headaches due to this typical posterior fossa syndrome.“chiari” headaches may coexist with migraine headaches, complicating treatment.Frequent coexistence of musculoskeletal neck pain.Need good neurologist to sort out.

Answered 1/20/2014

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