Hi doctor, I had an MRI three weeks ago and they told there is Chiari malformation about 8 mm. I went to a neurologist but he did not listen to me. I have a constant headache, a pressure in my necks and shoulders, nausea with vomiting daily. I have a problem with swallowing, buzzing in the left ear. I have been going for pain management for the past two years with numerous injections. Currently, I am taking tablet Percoset 7.5 mg, Tizanidine 12 mg. I have dizziness, my hands, and arms tingle and there is numbness.
Hi. Tonsillar herniation of more than 5 mm in adults is significant and defined as Chiari type 1 malformation. The usual symptoms associated with this condition are imbalance while walking, cough induced headache, numbness over hands, nape of neck and weakness of hands. Many people are not symptomatic. In asymptomatic people with tonsillar descent more than 5 mm, we usually do CSF flow studies to look at the CSF circulation in the foramen magnum. If the CSF flow is altered, we recommend surgery. If the flow is normal, we observe the patient with periodic clinical exams and imaging. In the images that you have provided (attachment removed to protect patient identity) none of them shows the tonsils. So, I am not able to comment on whether there is Chiari malformation or not. For more information consult a neurosurgeon online -->