A member asked:

I have an arachnoid cyst and a chiari 1 malformation. how will a neurosurgeon know which one is causing my tinitus, dizziness, and nausea?

3 doctors weighed in across 2 answers

Working diagnosis: It depends on the location of the cyst, the extent of the chiari malformation on mri, what other symptoms you might have (difficulty swallowing, arm/legs symptoms, reflex changes). You might need an evaluation by an ear-nose-throat surgeon to see if there is a problem with the hearing and balance nerves. It becomes about choosing the most likely explanation after all the info are available.

Answered 10/3/2016

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Cyst Location: Unless the arachnoid cyst is in the area called your posterior fossa , the back of your skull area, the dizziness would more likely be related to a chiari. The tinnitus should be assessed by ENT with hearing test. The nausea if it is exertional may be a sign of vertigo or due to the chiari if associated with a headache. I agree you need some workup to tease things out.

Answered 4/9/2015

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Can an arachnoid cyst or a chiari 1 malformation grow?

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