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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cerebellar Tonsils, Tonsillar Ectopia, Paranasal Sinus, Mucosal Thickening, Had Arnold–chiari Malformation. Done MRI. Suggest

I had decompression surgery for Arnold Chiari in 2003. I just recently had MRi that states i have low-lying cerebellar tonsils cosistant with tonsillar ectopia and minimal mucosal thickening in paranasal sinus and also mucousal thickening/retained fluid in a few mastoid air cells bilaterally. Does this mean my Chiari is back.
Mon, 30 Sep 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,

I would reassure you it does not mean in anyway the malformation is back. Generally, the malformations is generally accompanied by these features described in the MRI. Patients with corrected chiari, even with these features do live normal lives, with these features causing no major clinical signs nor symptoms.

Depending on the intensity of symptoms, a second surgical intervention could be programmed. This has nothing however to do with recurrence of the chiari syndrome, which on its own is a congenital malformations. Your neurosurgen's physical examination and the symptoms you present with will guide the treatment approach. Kind regards.

Bain LE, MD
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Cerebellar Tonsils, Tonsillar Ectopia, Paranasal Sinus, Mucosal Thickening, Had Arnold–chiari Malformation. Done MRI. Suggest

Hi and thanks for the query, I would reassure you it does not mean in anyway the malformation is back. Generally, the malformations is generally accompanied by these features described in the MRI. Patients with corrected chiari, even with these features do live normal lives, with these features causing no major clinical signs nor symptoms. Depending on the intensity of symptoms, a second surgical intervention could be programmed. This has nothing however to do with recurrence of the chiari syndrome, which on its own is a congenital malformations. Your neurosurgen s physical examination and the symptoms you present with will guide the treatment approach. Kind regards. Bain LE, MD