Wednesday, October 20, 2010

A Real Horror

My story

I’ve always had headaches and migraines. During 7th-10th grades they got progressively worse. It was sophomore year in March/April of 2003, when the pain got the best of me. I was waking up in the mornings with so much head and neck pain, that it forced me to throw up. The puking eased the head pain for awhile. I was missing a lot of school or was late because sometimes it was so bad that I just couldn’t deal with it. There were days where I couldn’t move my neck or turn my head at all. Some other symptoms I experienced were numbness/tingling in my limbs, lightheadedness/dizziness, decreased sensitivity to temperature, balance problems and more. Finally I went to my family doctors to see what was going on. He had me try Imitrex for ‘migraines’. It didn’t help at all. In fact, it only added muscle pain in my shoulders while it was in my system. I went back to him again, this time while my head wouldn't turn. He ordered an MRI and then referred me to a Neurosurgeon without us even seeing the results.

I saw Dr. Robert Schlegel of York Neurosurgical Associates in York, Pa. Dr. Schlegel ordered some more MRI’s and there we found out I had something called Chiari (Key-r-ee) Malformation and Syringomyelia (sear-IN-go-my-ELL-ya). At the time I didn’t fully understand what it was but I got the gist. I understood that the lower part of my brain was growing down through the hole in my skull (foramen magnum) and putting pressure on the back causing the head/neck pain and vomiting. Also, that I had a pocket of fluid in my spine that was caused from the pressure in my head. Dr. Schlegel told us about Decompression Surgery and how it could help relieve the pressure but was not a cure. They would remove a small part of the base of the skull. And if they had to, part of the cervical vertebra (C1). (I wasn’t taking it all in at the time. When I realized I had to have surgery I was worried about the fact that part of my hair was going to be shaved off and that was pretty much it.)

Surgery was scheduled for July 25th, 2003 at York Hospital. Dr. Schlegel and Dr. Winer performed the surgery. I was told afterwards that it was good they got in there when they did because the base of my skull was eggshell thin. I was in ICU (Intensive Care Unit) for a little while recovering. The pain after surgery felt much worse than before. It felt like my brain was trying to push out from every opening it could find. There were constant ‘explosions’ of pain going off inside my head. I was constantly puking from the pain. I couldn’t keep any food down. I was ‘eating’ ice-chips. The pain medicine they gave me didn’t seem to help. I hardly slept. My mom stayed with me every night because I didn’t want to be alone. I was finally moved to a regular room but unfortunately, I was put on the pediatric ward. There was always some kid crying or screaming, that didn’t help. All I wanted was to go home. They wouldn’t let me leave until I was able to get food down and keep it down. I also need to get up and walk around daily. My walks around the nurses’ station were blurry. I couldn’t see (because I wear contacts/glasses and didn’t have them because I was in too much pain to bother) and was very dizzy. I was in the hospital for a week.

I was finally able to go home when I kept some food down. Dr. Schlegel sent me home with Percocet for pain; which did not help at all. We hardly made it half way home before I started vomiting again. Every bump and turn was murder. The following week I had a follow-up MRI and visit with Dr. Schlegel. I was still having trouble keeping food down. Mom bought something like Pedialyte and I was at least able to drink that for some kind of nutrition. I still couldn’t sleep and the pain was not getting any better. Dr. Schlegel prescribed a different medicine for pain and to help me sleep. After taking that (I do not remember what it was) the pain started to subside and I was finally able to get sleep. I was beginning to keep food down. It took about 4 weeks to recover and start getting back to being myself. When school was starting I was given the chance to hold off until January, I did not want to fall behind. I fought hard to start school and live through the pain I still had. I was not symptom-free. It was not the same pain. Nowhere near as bad. I was not puking every day. I am restricted in the activities I can do. I can no longer ride roller coasters, play contact sports, and things like that. I have friend 'head gaurds' at rock concerts when jerks throw glass beer bottles through the crowd and mosh. Haha they cover and protect me well!

Today I still have head and neck pain, numbness/tingling in my hands and feet, lightheadedness and dizziness, balance issues, trip over my words, etc. I may look fine and normal, but looks can be deceiving. Not to say that I’m always in pain, but Chiari is usually kicking me somewhere.

Chiari Malformation affects about 1 in 1,000 people. 

Comments are appreciated :)

Saturday, October 9, 2010

Treatment and Pain Management

(Your doctor will suggest the best option)

Posterior Fossa (Brain) Decompression Surgery - A piece from the base of your skull and sometimes the top part of the C1 vertebrae is removed. This is to allow more room for the brain and to relieve pressure. The relief of pressure should help the flow of Cerebralspinalfluid (CSF).

Illustrated explanation

Pain Management

For me personally, when I have head and neck pain... I go right for my icepack. It's a rectangular shape and molds around my neck. It freezes the pain. It doesn't always work; but 9/10 times it helps better than heat for me.

There are the usual pain relievers...which don't work at all for me. (Tylenol, Ibuprofen, Aleve, etc)
 As always consulting your doctor is the best for pain management. It is hard to find things that truly work to stop the pain. There are migraine preventative medicines and ones to take at the onset of a migraine. Although, if the pain is not a normal headache/migraine...well we're pretty much screwed.

I am not a doctor. My information comes from personal experience and Internet research.

Other Stuff....
Just a repost for the article on Chiari...Please read the link:) Click it, read it, repost it on your site/blog/fb/twitter whichever!

Living with Chiari on Health Mad

Also, I just recently got my MRI's on a CD so I will be posting them soon.

Thats all for now:)