Recently Answered Questions
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I am having severe pain after a head injury. Kindly help.
Query: Hello doctor, I am a 46-year-old male with a Chiari malformation, and I recently hit my head. I am experiencing severe pain, and despite taking Ibuprofen, there is been no relief. Kindly help. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Chiari malformation is a neurological condition that affects the brain and spine. It is not typically associated with head injuries or severe pain, and it is unclear how your symptoms are related to this condition. However, if you have ... Read Full »
I have spina bifida. How will the condition progress?
Query: Hello doctor, I have spina bifida, which is a slow degenerative syndrome. In the long run, what kind of deterioration will take place? Read Full »
Answer: Hello, Welcome to icliniq.com. Spina bifida may progress to involve both legs, where one may develop tingling numbness and weakness. One may also develop urinary retention and overflow incontinence. Many times if there is associated cranial abnormality like Chiari malformation, then similar symptoms... Read Full »
My wife has a 5 mm Chiari malformation. Please help.
Query: Hello doctor,My wife has had pain and weakness in her left leg for the past 15 years. Recently, she developed weakness and numbness in her left arm, face, and tongue. She was diagnosed with a 5 mm Chiari malformation and was given steroids to relieve migraines. After seeing a neurosurgeon, she was t... Read Full »
Answer: Hello, Welcome to Icliniq.com. I understand your concern. Without examining your wife, seeing the reports (attachments removed to protect patient privacy) is like shooting in the dark. Where is this malformation located? Why was she declared unfit for surgery- was it due to anesthetic risks or s... Read Full »
Are low back pain, leg pian and fatigue connected to Arnold-Chiari malformation surgery?
Query: Hello doctor,I have been dealing with severe lower back pain, hip pain, butt and leg pain, fatigue, insomnia, hot and sweaty, pain in my wrist and fingers, and foot pain (on my left foot my toes are curved down and one is curved to the left). I do not know if this has anything to do with arthritis b... Read Full »
Dr. Peter Bryant Rapsing Grutas
Answer: Hello, Welcome to icliniq.com. I am sorry you are having these symptoms. Have you had any laboratory workups done before? How about imaging studies? There are many causes of your current symptoms and this makes it more complicated since you have Arnold-Chiari malformation. This includes autoim... Read Full »
I have headaches and neck pain after surgery. Why?
Query: Hi doctor, I was diagnosed with Chiari malformation and underwent decompression surgery 10 years back. I also underwent two ACDF surgeries, of which one was performed eight years back, and one more surgery was performed six years back. I am experiencing headaches, neck pain that is radiating to my ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I suggest you answer the following questions to know further details about your headache : 1. When did you start having headaches and neck pain? 2. Which part of the head is aching? 3. Which part of your neck is paining? 4. What kind o... Read Full »
Why am I hearing scratching, crunching and trickling sounds from my ear?
Query: Hello doctor, This started with a red bump in the outer right ear canal. I thought it was a zit or something else. In the beginning, I was told it was impetigo, ringworm, and just a bacterial infection. Over a four-month period, I was on several antibiotics, which is more than five less than ten, a... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. According to your statement, you have been suffering from a bump-like lesion in the outer right ear canal. Your ANA (antinuclear antibodies) 1:640 speckled pattern. As your ANA titre is high, dermatomyositis may be a cause of that. Classical ... Read Full »
I have recently been diagnosed with Chiari malformation. Please suggest opinion.
Query: Hello doctor, I want your opinion about my Chiari malformation shown and described below. I am a 55-year-old female with a history of single major depressive disorder. I had COVID (Corona Virus Disease) almost seven months back. I have had headaches, brain fog, memory loss, falling, neck and ear pai... Read Full »
Answer: Hi, Welcome to icliniq.com. I feel sorry for your frequent headache issue, but the good thing is that we have a diagnosis, which is Arnold-Chirari type 1. You need to do a screening magnetic resonance imaging (MRI) of the spine to look for associated findings like syrinx within the cord. Surgery is ... Read Full »
Does MRI scan diagnose Chiari I malformation?
Query: Hi doctor, I have recently taken MRI as I had flair signals and got the results. What does this Impression mean: No acute intracranial process. A few tiny subcortical white matter FLAIR hyperintensities are most notably in the frontal lobes. Appearance is nonspecific. A similar finding can be seen i... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Chiari malformation type 1 occurs when the section of the skull containing a part of the brain (cerebellum) is too small or is deformed, thus putting pressure on and crowding the brain. As a result, the lower part of the cerebellum (tonsils) is ... Read Full »
I have visual disturbance and tingling. Please help.
Query: Hi doctor, I caught Lyme disease two months ago. I had a 7 hour long vomiting session with it. Since then, I have had tingling in my arms, legs, hands and feet. A month ago, I started having kaleidoscope vision, followed by a medium headache. This is now happening three or more times a week and last... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand your symptoms well. Very high likely that your Chiari malformation with syrinx is giving you the trouble again. This time with hydrocephalus as well. Your symptoms are quite significant and points at syrinx progression with hydrocephalus. Clinically, I do no... Read Full »
What is the treatment for chiari malformation?
Query: Hi doctor, I had an MRI (Magnetic Resonance Imaging) 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 swallow... Read Full »
Answer: Hi, Welcome to icliniq.com. 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 ... Read Full »