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Hi there. Your requested expert has not picked up your question, so they have opened it to others. I can help you if you'd like.
My own opinion is that your current symptoms, if similar to those you experienced before your chiari surgery are likely related to it. The malformation, as well as the corrective surgery, means that the neurons are not entirely wired correctly, or could be hyper-excitable, and prone to misfiring. I would think it unlikely that you have been "blessed" with both chiari and MS. The odds are long against this. However, it is reasonable to get the repeat MRIs and take a look. It might also be reasonable to get an LP to check both your opening pressures, but to also look for oligoclonal bands.
That said, individuals with chiari are not immune from other types of headaches and neuropathies, of course. Your headaches and numbness/tingling could represent a type of migraine syndrome or migraine equivalent. I think a work up is appropriate...a reasonable treatment plan should follow.
Interesting. What was your doctors' take on that? Are you an athlete, or runner?
Bilateral peroneal neuropathies, if not from an underlying systemic disorder such as diabetes or B12 deficiency or a vasculitis, etc, is often from entrapment or compression of the peroneal nerves as they cross the heads of the fibulae and dive down into the tibialis anterior muscles. This is common in those who are on their feet a lot, or run, or do a lot of stair-climbing, for example. It would not be an expected finding in MS or chiari due to its bilaterality.
Did you have any follow up questions? Let me know if there is anything else I can do to be of help.
Hi Dr Bob, i had my MRI done today. I will not find out the results for a bout 5 days. I am posting a few images and was wondering if yo could tell me your opinion. I am being investigated for MS, already have chiari malformation with surgery.
Here is the brain MRI picture
A neuroradiologist will need to scroll carefully through all the images and compare findings from sequence to sequence. This is a rather laborious process requiring a high level of specialized training. That said, I don't see any obvious white matter lesions jumping out of these few images. There do appear to be some post-surgical changes/scar tissue?? in the region of your surgery/chiari malformation which might be a factor in your symptoms. Just be sure to ask your doctors about this if the neuroradiologist does not specifically address them in his or her report.
These imagines are with contrast.
Thank you for the additional image. There is a lot of information contained in an MRI and this should help your doctors make a more accurate diagnosis. While I don't see any obvious signs of MS, the diagnosis is a clinical one...with support from MRI and LP.
Not likely...they are probably getting the CT because the hemangioma is in the bone and CT shows bony detail better than MRI. Do you have any prior studies available (either MRI or CT) with which to compare this finding?
Don't think so. It appears to be in the C2 vertebral body. The cord at this level looks normal in the few images you have provided.