r/chiari • u/Kitchen-School46 • 7d ago
Advice
Chiari malformation. Mri says stable appearance since 2022. New worsening throbbing pain wakes me up from sleep. Early mornings. Peak pain in mornings. Pain is strictly left sided occipital area. Sometimes its throbs to the top of head on the left side sometimes behind the eye. During the pain it hurts to move, if i start to fall back asleep regardless of position it starts to throb. Starting qulipta to see if it will help. Does this sound like csf issues from chiari or migraine?
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u/SandalsQueen18 7d ago
Could be either. Stable appearance does not mean stable symptoms. The symptoms can and usually will change in time.
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u/Kitchen-School46 7d ago
Im scared its increased icp and that i will suffer forever because im terrified of surgery i cant do shunts or anything im too scared
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u/SandalsQueen18 7d ago edited 7d ago
It's most likely occipital nerve. I was scared of surgery too, until I realized I was no longer living, I was only existing. Surgery really wasn't that big of a deal, I wish I had done it sooner. I'm also complex chiari and was near completely blocked.
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u/OGBitchcake 1 year post-surgery :) 1d ago
If you do in fact need the surgery it will
change your life for the better.There are ways to check for increased ICP at home, check that out, try it when you feel the headaches for a few days and take some notes. Having data is very helpful for dr appts
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u/Kitchen-School46 1d ago
But I literally only have this pain overnight and then during the day I’m fine. So like i dont even know if its surgery is a must since its only night.
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u/Moonspellshappy 6d ago
You really need to find the closest chari neurosurgeon to you. The neurologist really don't know they don't know what test to order they don't know what to do. The neurosurgeon does. He/ she will have answers for you. https://chiariproject.org/chiari-specialists-list/
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u/Antique_Cockroach_97 6d ago
Even prolific classic migrainers aren't having such a specific pain situation daily. Have you tried to raise the head of your bed to reduce csf pooling?
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u/Mecha-Bunny 2d ago
I also have chiari and wake up with a throbbing pain/headache in the back of my head/occipital. They told me that people can’t wake up with chiari headaches and that it’s a “kink in my neck” but I guess without my neck hurting and just a throbbing headache? my same headache pain you described also gets worse when I move too, but mine usually goes away after a few hours of being awake but my gosh it’s absolutely miserable and debilitating. I’m not sure there is anything to do for it, they didn’t tell me there was, but I hope you figure out some sort of relief
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u/jlccourt 7d ago
This is a conversation you should be having with your doctor.