Hi Louise,
Well, I guess I will start at the beginning! In September of 2002, I started having a feeling of a foreign object in right eye. I went to the eye doctor, and though he could see anything, he gave me a “bandaid” contact lens to wear for 24 hours. Before I went back the next day, I started experiencing tingling in my scalp on the right, along with a feeling as if someone had pulled my hair really hard! When I went back to the eye doctor, he was puzzled, but suggested either shingles, or Multiple Sclerosis, and referred me back to my internist. I went the next day, was given medicine for shingles ( without a definite diagnosis) . This was on a Thursday. Friday evening, I started having a pins and needles feeling in my right foot. By Saturday morning, my whole right leg was affected . I was referred to a neurologist, who ran tests for MS, Lyme disease, lupus, and just about everything else you can think of. All tests were negative, as was the MRIS of my brain. suring the weeks I was having this testing, I was having the pins and needles, along with frank, painful, numbness on most of the right side of my body. At one point, I had an extreme burning sensation in my right arm that was so intense I needed to take pain medication. I also had occaisional trouble with walking, and balance. It seemed like everyday brough a new, confusing symptom!All along, I had been during my on searches online, as was my family. My aunt happened to know someone with a Chiari Malformation, and when I searched that, it did seem to fit my symptoms. I mentioned it to my neurologist, but he said I did not have it. At the time I was feeling a bit better , (but i was taking prednisone, whichnwas probably masking the symptoms)so he finally concluded that although he could not diagnose me with multiple sclerosis, if my symptoms returned, he would treat me as if I had MS. About a month later, I saw another neurologist for a second opinion. Again I asked him about a Chiari Malformation, and again I was told that was not the problem . This doctor decided all my issues were stress related, and gave me an anti depressant. Needless to say, I never went back to him. I was getting more and more numb, and the tingling and burning was constant, all on my right side. I felt as if I had two different bodies.I was pretty discouraged at this point, and just thought this was something I would have to deal with. Fortunately, about two months later a family friend, who is a radiologist at a medical school, offered to look at my MRI films. He immediatley called to inform me that I had an a unusual finding on my film. A Chiari Malformation! He recommended I see a neurosurgeon who was experienced with this disorder, as it is uncommon. I found a wonderful doctor, who,was as baffled as I as to why no other doctor, nor the radiologist who first read my MRI missed the Malformayion, as it was 11mm. At my initial exam with him, it was very apparent that my fine motor skills had dramatically deteriorated, as had my balance, and gait. The sensation of numbness was so strong, it felt as if I was wearing a glove on my right hand , and a thick sock on my right foot. The dr explained to me that if I had the surgery, it would stop any further damage to the nerves involved, and my chance of recovery of sensation and function would be good. I elected to have the procedure three weeks later. It involved taking a small piece of bone out of my skull, enlarging the dura, which is the tough tissue between the skull and the brain, with a patch, and removing the back of my C1 and C2 vertebra. All of this is done to make room for the brain, which is slumped into the spinal cord, due to the Chiari Malformation. It was a major surgey, but I fared rather well. Most of my symptoms were resolved, some quickly, and some took may months, so,it was at least a year before I would say I was fully recovered.
As I mentioned in my previous post, I had experienced what I now know was TN since I had the surgery. I always thought it was part of the Chiari, and that I would have to live with it. It was not until it became unbearable , in Jan 2012,that I went back to my surgeon, who could not give me an answer. After seeing yet another neurologist, who misdiagnosed my pain as Chiari related ( even though I asked about TN!) I found the right neurologist in June. He listened to me and agreed with me. He prescribed Tegretol, which worked wonders in only 2 days, but unfortunately , I am allergic to,it. I started Gabapentin in July, and have had to increas the dosage quite rapidly. In October, I was maxed out at 600mg 4 x a day, but was still having the constant burning pain. It was the that I sought a surgical opinion. I was pretty set on MVD, as it seems it is the best procedure available, and I was not confident about the other treatments I had heard about.i had a leading expert as my surgeon, had surgery Friday, spent 2 nights in ICU, and was released on Sunday. I can honestly say it was not as bad as I expected. The recovery was actually a bit easier than my first surgery, but it is very painful, and I was and still am pretty tired. I did wake up from surgery with no TN pain on that side, which was lovely ! I have had some flare ups since, but that is to be expected as the nerve is still healing. I am still on Gabapentin, as I have TN on the other side also, but I will have the MVD for that sometime later this year. I am glad I had the surgery.
Sorry this is so,so, long, but I did want to give you the full story. It is late here so I am off to bed , but please let me know if you have any questions, I am happy to help!
Christine