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Suggest Treatment For Pulsatile Tinnitus
Question: Hi I have Chiari type 1 malformation and have been dealing with pulsatile tinnitus for the past few months. My doctor ordered an MRA with a csf flow study but it can't be done until the 27th of october and I feel like the tinnitus is getting worse and there is a lot of pressure in my head. Is it ok to wait 2-3 more weeks for the test?
Brief Answer:
Supportive care
Detailed Answer:
Thank yo ufor asking
I read your question and i understand your concern. Type 1 chiari malformation means cerebellar herniation from foramen magnum of more than 5 mm. MRI is pivotal as it will differentiate it malformation and decide future plan. CSF analysis from foramen magnum with phase contrast cine will be needed too. Mostly it is treated conservatively and some times need surgery if syringomyelia is severe or symptoms are not manageable. Till your MRi date of 27th october, you should continue supportive care for tinnitus with some antihistamines like meclizine and low doses of tricyclic antidepressants. Mild neck pain and headaches can be treated with analgesics, muscle relaxants, and occasional use of a soft collar.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards
Khan
Supportive care
Detailed Answer:
Thank yo ufor asking
I read your question and i understand your concern. Type 1 chiari malformation means cerebellar herniation from foramen magnum of more than 5 mm. MRI is pivotal as it will differentiate it malformation and decide future plan. CSF analysis from foramen magnum with phase contrast cine will be needed too. Mostly it is treated conservatively and some times need surgery if syringomyelia is severe or symptoms are not manageable. Till your MRi date of 27th october, you should continue supportive care for tinnitus with some antihistamines like meclizine and low doses of tricyclic antidepressants. Mild neck pain and headaches can be treated with analgesics, muscle relaxants, and occasional use of a soft collar.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards
Khan
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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