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Suggest treatment for Chari malformation

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Posted on Mon, 1 Jun 2015
Question: I went to the neurosurgeon yesterday because of Chari malformation which she told me I really did not have it was basically a zero the neurosurgeon did physical and told me I had something and it sounded like she said Cologne and it was as if she expected that I knew I had it I did not understand and asked her repeat it and she said she wouldn't because she doesn't want me looking it up and being scared.making me more scared so right now I'm know that it is my left side weakness I am tingly and numb on the left and she said I had to have a spinal scan and I need possible spinal tap she sending me to a neurologist because she feels that it's more of a neurological problem she said I have all the symptoms of MS but my brain scan showed no MS lesions so I'm wondering what it is that I could possibly have
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Answered by Dr. Geldon Fejzo (35 minutes later)
Brief Answer:
MRI of the spine recommended

Detailed Answer:
Hello. I have been through your question and understand your concern.

I understood you have left extremities numbness and weakness with a normal cerebral MRI.

Chiari malformation can cause as well these symptoms by medullary compression, but this situation can be easily ruled out with the cerebral MRI.

The next step, reasonably, is the spinal MRI to better evaluate the spinal cord. Then, before a spinal tap, which is important for the MS diagnosis, you should proceed with left extremities nerve conduction study, to see if there is a nerve damage.

After completing these tests, a neurologist or even a neurosurgeon can come to a definite conclusion about your condition.

Wish you the best health.

Regards.

Geldon Fejzo MD
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Geldon Fejzo (34 hours later)
But what is it that she says I have now? She played with my left foot and bent it around and she assumed I know I had something conditions that sounded like Cologne can you at kestrel me what it is I have brain to spine to foot????
doctor
Answered by Dr. Geldon Fejzo (13 hours later)
Brief Answer:
Cologne is not a medical term

Detailed Answer:
Hello. Cologne makes no sense. It is not even a medical term. Maybe she said colon, meaning spine.

It is important that you report here the MRI findings. Chiari malformation or anything related to it would have much more sense if you bring here the radiological report.

As for the symptoms you are complaining, if the MRI is negative, you should proceed with the spinal MRI.

Please inform me if you can find the MRI report
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Dr. Geldon Fejzo

Neurologist, Surgical

Practicing since :2009

Answered : 337 Questions

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Suggest treatment for Chari malformation

Brief Answer: MRI of the spine recommended Detailed Answer: Hello. I have been through your question and understand your concern. I understood you have left extremities numbness and weakness with a normal cerebral MRI. Chiari malformation can cause as well these symptoms by medullary compression, but this situation can be easily ruled out with the cerebral MRI. The next step, reasonably, is the spinal MRI to better evaluate the spinal cord. Then, before a spinal tap, which is important for the MS diagnosis, you should proceed with left extremities nerve conduction study, to see if there is a nerve damage. After completing these tests, a neurologist or even a neurosurgeon can come to a definite conclusion about your condition. Wish you the best health. Regards. Geldon Fejzo MD