Doctor insights on:
Would A Cervical Laminectomy Fix My Chiari Malformation
Chiari 1: Arnold chiari malformation type 1 is defined by cerebellar tonsils that extend below the foramen magnum. The symptoms range from none to numbness, pain and weakness. The condition can become life threatening when cerebrospinal fluid is blocked. It is important to see a neurosurgeon with experience treating this disorder to discuss the therapeutic options. ...Read more
I have spinal stenosis in both my cervical and lumbar spine, bulging discs, nerve abutment. Do you think surgery is a good option for me?
Not based on this : Female age unknown has age-related spine changes noted on MRI. When MRI first invented "bulging" disks thought to be pain generators. Now, surgeons realize these can be red herrings. Some studies indicate only 10% back pain disorders benefitted by surgery. U.S. leads world in unnecessary back operations. Get second opinion. First try aquatherapy, yoga, massage, acupuncture, biofeedback, & etc. ...Read moreSee 1 more doctor answer
Chairi malformation: Yes. Scar tissue can compress the cerebellar tonsils and lead to recurrent symptoms. However this is uncommon and more likely is that you have arthritis in your neck that is mimicking the symptoms of a Chiari malformation. A complete neurological examination and an MRI of the cervical spine will provide some answers for you. ...Read more
No adjustment!: Myelopathy means you have symptoms due to pressure on the spinal cord in the neck. Adjustments are absolutely out of the question. A decompression or fusion is the most appropriate treatment to stop progression of symptoms. However, the kind of procedure is dependent on the reason you have myelopathy. You need to see a spine surgeon in order to fully evaluate your problem. ...Read moreSee 4 more doctor answers
Yes: Syrinx can enlarge / elongate. Sometimes tiny shunts are placed if the Neurosurgeon believes this will prevent elongation (if there is production of fluid under pressure within the syrinx ). We monitor the stability of the syrinx with serial neurological exams over time. The majority of the time the situation remains stable and new symptoms arise for other reasons. (Neuropathy, Carpal Tunnel etc) ...Read more
What type of orthopedic surgeon can perform spinal surgery for a C7 foramenal stenosis radiculopathy?
It is: Chiari described different types of developmental defects of the cerebellum. Type 2 is associated with spina bifida, type 3 and type 4 are severe defects. You are probably talking about type 2 associated with spina bifida. It can cause breathing and swallowing problems. Treatment with surgery is controversial. ...Read more
I have congenital spinal stenosis and have had two back surgeries, involvong laminectomies and chip removal. What is my best remedy?
I have chiari malformation type 1. Mri shows loss of cervical lordosis and disc herniation at c5-c6. Is this connected?
What should I expect going into a posterior fossa decompression surgery for chiari 1 malformation? Recovery time? Restrictions?
Chiari: Most surgery for chiari malformation is a decompressive operation. Surgery takes 3-4 hours. Hospital stay is usually 1 day in ICU and 1-2 days general care. I would recommend lifting less than 10 pounds for the first 2 weeks and less than 25 pounds after that. You will be asked to not bend your head lower than your waist. Recovery occurs in 6-8 weeks. ...Read moreSee 1 more doctor answer
Pretty good: The most common procedure to treat Chiari malformations is to decompress the brainstem & spinal cord by removing parts of skull/upper vertebrae. It is extremely difficult to compare outcomes as all patient situations are so different, but one study showed that 84% report significant quality of life improvement after a year. About 10% report "getting worse." Pretty good odds. Best wishes. ...Read more
You just have to ask: Your question is best answered by the person doing the surgery. The most obvious reason is that the procedure is based on the diagnosis and the immediate pre operative evaluation. A not so obvious reason is training and experience. You informed consent is based, in part, on knowing the answers to these questions. So ASK. ...Read more
I'd like to talk to someone about an operation on my back for spinal stenosis I also have bulging discs. My actual diagnosis is developmental spinal stenosis?
Spinal stenosis : You need to consult a Neuro surgeon or Orthopedic surgeon who specializes in such surgery and has done several of those surgeries a month . These types of surgeries are often complicated and have long recovery time . In the end when successful they are worth the pain time and effort . Best luck ...Read moreSee 1 more doctor answer
I had a hemilaminectomy, discectomy, partial facetctomy, foraminotomy, l5--s1 1 having numbness in foot and pain in buttocks. Dr recommends spinal fusion another dr recommends spinal lamina.I'm confused.
Mri findings say acquired spondylolisthesis and cervical spinal stenosis with myelopathy . I am in a great amount of pain. What next ?
After 2 decompression surgeries for Chiari I malformation and 2 more for CSF leaks I now have a damaged Vagus nerve. Can this be repaired?
Assuming that you : Are fused ; rehabilitated just avoid activities that involve combined repetitive flexion ; rotation ie.Racquet sports ; golf. Heavy contact sports are not advisable like rugby or tackle football. If asking in post op period, this is dependent on type and extent of fusion as well as your health/ conditioning including your diagnosis----your surgeon will guide you. Otherwise your life should be ok. ...Read more
Depends: This depends on a variety of factors including your age and health as well as other medical issues and habits such as being a smoker. It also depends on the specific reason for the surgery and what rype of surgery (decompression, fusion or both) and the extent of the surgery as well as what approach or approaches used. Is it a first time surgery or a revision surgery or an adjacent level one. ...Read moreSee 1 more doctor answer
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