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  #11  
Old May 10, 2006, 08:21 PM
Registered User
Join Date: Mar 2006
Re: Arnold Chiari Malformation

Thanks EricEnfermero...I haven't checked that site out yet. Fellow Neuro pt. aye?

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  #12  
Old May 11, 2006, 12:47 PM
Registered User
Join Date: Dec 2000
Re: Arnold Chiari Malformation

You're quite welcome! 'Yes, I've checked out quite a few ACM sites on the net, and have gotten quite a bit of information...I guess I just wanted them to be a little more specific.'--I can SOO understand that (and on NUMEROUS levels! LOL...sighs). Whether it be in re: to the hydrocephalus, migraines...I've been fortunate though in that in the 'ZILLIONS' () of pages I've come across/read since I first got the internet ('97)...I've been able to 'enjoy' BOTH aspects of info. 'out there'--from the medical AND pt's 'perspective'. It's been interesting, and nice. I've NEVER minded the hydrocephalus/shunt(s)--I actually have TWO shunts now...but the migraines I DO mind. LOL!! GRR! <--THAT is what living with migraines for ALMOST a year now has made me want to do...LOL. Sighs. Could be worse though...thanks to last year's surgeries...I got 'rewarded' with them (YAY! Sorry...little bitter sarcasm there...BUT! Hey, it'll add 'one more' to my 'list' as an RN (i.e. to the hydrocephalus/shunts--NOT to mention I also have sensorineural hearing loss due to the surgeries I had PRIOR to last year's...oh, and I'm also diabetic...hmmm...LOL!).

My life's been interesting, that's for sure...! I like it though...it's provided for some challenges, NUMEROUS opportunities to help people (i.e. signing guestbooks and all of a sudden getting an e-mail from a fellow hydrocephalus 'sufferer' or the parent of one--or even a parent of a premie whose had an IVH, and they want to ask you questions about what your experiences have been like and so forth). That's been one of my GREATEST joys...sighs and <grins>. It was ESPECIALLY most 'rewarding' as a 16y/o and...it does one's heart good...ya know?

I know quite a few Chairians---but no one personally. Then again...I don't know any fellow 'hydro' pts EITHER! Well...I mean, I've met parents or grandparents of pts. Ironically, the unit coordinator that was on the end of the unit that I stayed on when I had my shunt revision last year (one of two brain surgeries...), her son is also a former premie, suffered an IVH, is shunted too...when she found out *I* had gone through the EXACT same things as her son--she was JUST as shocked as *I* was to meet someone SOO 'personal' (being that she was on the neurology/neurosurgery/ENT floor). Her son and I have the same NS. We don't have a ped NS anymore...she left about 2 yrs. ago and moved to VA. Her son had been born at the hospital that I had my surgeries at (which coincidentally...I had been TRANSFERRED there, stayed in the old NICU--which was housed in the main hospital, until they built seperate Women's and Children's Hospitals)...and I had NEVER even DEALT with our NS, nor the neurosurgery residents (or neuro attendings/residents, ER...NO ONE! LOL..) until last year...!

I'd managed to go eight weeks AND two days shy of FIFTEEN yrs. before needing last year's shunt revision [my longest time EVER--shortest was 19 days...which was the revision needed to make my temporary shunt placement a 'permanent device'--that was at 5wks. and 2 days old (the initial placement was)].

Wow! So 4 yrs. since your dx...sighs. I'm SO sorry you've had an exascerbation of sx's. That seems to be what happens over time (of course). One either stays where they're at, or they progress/progressively get worse.

I belong to several hydrocephalus support groups--a few are Yahoo, and one is actually a mailing list (which I've been a member of since I was 16).

I understand about the clinical advice (and about the no-no...umm, yeah! LOL...yeesh!). *I* am ALL for personal enrichment, education...ESPECIALLY when/if one has a medical condition of their own (or MULTIPLE medical conditions). *I* know that ALL too well! Having four chronic health conditions of my own...umm, YEAH! Hydrocephalus/shunt: 23 yrs., sensorineural hearing loss (just right ear--shunted side only: almost 16 years now...), diabetes: dx'd 8/3/04, and migraines: dx'd 5/13/05...so yeah...I know...

'I hope my intentions aren't misinterpreted.'--I don't think they will be. I didn't take them to be.... So far, it seems like everything is 'A-OK'. Don't worry! And again, you're quite welcome!

LOL--I haven't had but what the 'average' person with my condition goes through has...LOL. It's OK...I'm just curious to see how many years I'll get out of this shunt...one year down, and HOPEFULLY *at least* four more! LOL...I know I'll get more (HOPING, anyway!!). Since my NS said the average shunt only lasts 5 years...well...*bites nails nervously*. Just kiddin'...LOL.

[Did I REALLY want to know that statistic...? (After ALL?!!??) LOL! Just kiddin'] Something to keep in mind as time goes on...

Hang in there! Good luck with your quest for info.!

Take care

Hugs

Erin

P.S. I know of the two best places for ACM decompression/surgeries. I've poured over COUNTLESS CaringBridge sites (not sure if you're familiar with those/have heard of those), and on the main migraine support group I belong to...there's a Mom whose 23y/o daughter was decompressed last year. She goes to one of the two leading ACM experts (Dr. Frim at the University of Chicago). Her daughter was JUST dx'd with high ICP VERY recently, JUST met with a neuro-ophthalmologist to have extensive tests run (she was actually bumped up--appts. typically are about 2 mo. in waiting and hers was booked in a week's time...after reviewing her records), and he said he didn't feel that a shunt would be 100% successful for her daughter. However, her Mom feels that even though the decompression was only 30% successful, if the shunt covers the other part of that success 'rate', then that's promising. AND...in the event that a shunt is NOT 100% successful, whatever percentage is left--they can treat with pain management, which her daughter has been taking part of already/is apart of already...). Her daughter had 23 ACM sx's...she'd been diagnosed w/migraines, 'been through the ringer', been to the VERY best doctors, etc. QUITE an ordeal...radiologists had missed [at the BEST institution(s)] her ACM, etc...

23y/o; "former premie" @ 30 weeks, 2#2oz., 10 1/4 in. long; hydro due to Grade III IVH(brain bleed), 12 surgeries, last revised 4/20/05, MIGRAINES dx'd 5/13/05;smallest baby in North Carolina to have a shunt inserted, CP dxed @ 2y/o;aunt to David Colby(5y/o) & Jordan Lee born 10/22/02(3#12,16 1/4"@2:27PM EST via C-section @ 36 weeks)--3y/o; Riley "Taylor"(niece---born:4/21/04@3 wks. early weighing 5# and 17.5"); ;-)future ANP(Adult Nurse Practitioner) working on neurology/neurosurgery floor, I hope!!;-);Dad passed away 10/3/03 due to acute renal failure, cardiac arrest, and anoxic brain injury("official" cause of death)

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  #13  
Old May 12, 2006, 01:20 AM
EricEnfermero's Avatar
EricEnfermero (Male)
EricNurse
Join Date: Nov 2005
Re: Arnold Chiari Malformation

Originally Posted by bladensburg,OHrn
Fellow Neuro pt. aye?
Yes, although I'm becoming less of a 'neuro patient' all the time. Last surgery was in 1984. The shunt no longer works (as of 1990-ish) and the ventricles do the work on their own now. They decided it was easier to leave the shunt where it is. So basically I have no more neuro risk, just some cool hardware to impress my friends.

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  #14  
Old May 12, 2006, 04:22 PM
Registered User
Join Date: Dec 2000
Re: Arnold Chiari Malformation

LOL--less of a neuro pt. Cool. Sighs. *I* thought I was until LAST yr. LOL! GRR! (Seriously) :-/ *sighs* and *shrugs* It's 'life' though...no biggie. Fifteen yrs. or VERY darn close to it was a 'good run'. LOL Add in the migraines (DUE to the SURGERIES last yr.!!), and...ARGGHH! LOL...oh well...*shrugs*.

WOOOOW! 1984!! I was 2y/o...or thereabouts. LOL! Sorry the shunt no longer works...sighs. Are you worried about that/do you worry about that? (i.e. that something might happen) I'm glad your vents decided to work on their own--YAY!!! When were you initially shunted? How many surgeries/revisions did you have in all? I hope you don't mind all the questions.... I apologize if you do/for being nosey. 'They decided it was easier to leave the shunt where it is.'--uh huh! That's the 'general consensus'/usually what happens...FAR too risky to remove it. That's what happened LAST yr. w/my NOW non-functional shunt. My NS removed the proximal catheter, but left EVERYTHING in from the neck down and told me it'd have been FAR too risky to remove the rest due to risks of hemorrhage and infection. I was like "FINE with me!!" LOL! He also said he'd have had to make twenty tiny incisions all down my body to remove it, and I was like "Uhhh, no thanks--don't think so! It can stay put!" ROFLMAO. Yikes! *shudders* I've had AT LEAST *one* shunt infection that I KNOW of...I don't/didn't want ANOTHER...of course, I was 3 y/o then...but!...nonetheless...yeesh!

I didn't want to acquire a shunt infection, have to have an EVD, be on abx for the duration required, have ALL that set me back 2-3 wks. or MORE!, and THEN be reshunted...! Good grief!! ARGHH!

It's VERY 'weird' though just having the catheter from the neck down in--well, being able to FEEL that portion (however, I can ALSO feel tubing in my head that seems like it's from the old shunt too...soooo...hmmm...I dunno...LOL! Just plain WEIRD!). This has 'ALL' made me think ever since then...*ponders*.

'So basically I have no more neuro risk, just some cool hardware to impress my friends.'--glad you no longer have no more neuro risk...'...just some cool hardware to impress my friends'--LOL! Yeaaahhh! Niiicee!

BTW: I LOVE your quotes!! LOL! Very cool! Secondly, good luck on your LSATs! Are you getting out of nursing/going away from nursing?? Lastly, I have ALWAYS had an AVID interest in neonatal nursing (specifically, Level III). I'm in NC, and have ALWAYS had my heart set on UNC/had planned on working in THEIR NICU. Ironically, their NM was one of my nurses, or MAY have been one of my nurses when I was there...she lead me through a tour of the NICU that I stayed in (which was 2 mo. before they dedicated their new Women's and Children's Hospitals), and even visited me when I had my first brain surgery last yr. She was on her way home, but she managed to stop by for a few minutes (I'd emailed her and told her I was in the hospital there, and if she *wanted* to, she could stop by and see me...I was SHOCKED that she did...as I hadn't seen her since she gave me the tour and so forth--which had been 4 yrs. before...!).

Take care

Hope you're OK

Erin

23y/o; "former premie" @ 30 weeks, 2#2oz., 10 1/4 in. long; hydro due to Grade III IVH(brain bleed), 12 surgeries, last revised 4/20/05, MIGRAINES dx'd 5/13/05;smallest baby in North Carolina to have a shunt inserted, CP dxed @ 2y/o;aunt to David Colby(5y/o) & Jordan Lee born 10/22/02(3#12,14 1/4"@2:27PM EST via C-section @ 36 weeks)--3y/o; Riley "Taylor"(niece---born:4/21/04@3 wks. early weighing 5# and 17.5"); ;-)future ANP(Adult Nurse Practitioner) working on neurology/neurosurgery floor, I hope!!;-);Dad passed away 10/3/03 due to acute renal failure, cardiac arrest, and anoxic brain injury("official" cause of death)

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  #15  
Old May 13, 2006, 05:19 AM
EricEnfermero's Avatar
EricEnfermero (Male)
EricNurse
Join Date: Nov 2005
Re: Arnold Chiari Malformation

Originally Posted by former_premie
LOL--less of a neuro pt. Cool. Sighs. *I* thought I was until LAST yr. LOL! GRR! (Seriously) :-/ *sighs* and *shrugs* It's 'life' though...no biggie. Fifteen yrs. or VERY darn close to it was a 'good run'. LOL Add in the migraines (DUE to the SURGERIES last yr.!!), and...ARGGHH! LOL...oh well...*shrugs*.

WOOOOW! 1984!! I was 2y/o...or thereabouts. LOL! Sorry the shunt no longer works...sighs. Are you worried about that/do you worry about that? (i.e. that something might happen) I'm glad your vents decided to work on their own--YAY!!! When were you initially shunted? How many surgeries/revisions did you have in all? I hope you don't mind all the questions.... I apologize if you do/for being nosey. 'They decided it was easier to leave the shunt where it is.'--uh huh! That's the 'general consensus'/usually what happens...FAR too risky to remove it. That's what happened LAST yr. w/my NOW non-functional shunt. My NS removed the proximal catheter, but left EVERYTHING in from the neck down and told me it'd have been FAR too risky to remove the rest due to risks of hemorrhage and infection. I was like "FINE with me!!" LOL! He also said he'd have had to make twenty tiny incisions all down my body to remove it, and I was like "Uhhh, no thanks--don't think so! It can stay put!" ROFLMAO. Yikes! *shudders* I've had AT LEAST *one* shunt infection that I KNOW of...I don't/didn't want ANOTHER...of course, I was 3 y/o then...but!...nonetheless...yeesh!

I didn't want to acquire a shunt infection, have to have an EVD, be on abx for the duration required, have ALL that set me back 2-3 wks. or MORE!, and THEN be reshunted...! Good grief!! ARGHH!

It's VERY 'weird' though just having the catheter from the neck down in--well, being able to FEEL that portion (however, I can ALSO feel tubing in my head that seems like it's from the old shunt too...soooo...hmmm...I dunno...LOL! Just plain WEIRD!). This has 'ALL' made me think ever since then...*ponders*.
Just typed a LONG reply, but my computer gave me an error. Internet connection must have goofed up. I'll send you a PM though.

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  #16  
Old May 13, 2006, 04:33 PM
Registered User
Join Date: Dec 2000
Re: Arnold Chiari Malformation

LOL! Cool! I got an e-mail from allnurses saying my Inbox was (is) full (Sorry!!)--I need to do some 'cleaning'--LOL! Sighs... Sorry--I JUST got on here...I'm battling PC problems w/my Mom's boyfriend's computer...ROFLMAO! GRRR! Oh well...seems to be OK...for NOW! Sighs...

We shall see...I'm in the process of getting Mom to help me with refiling my financial aid (so I don't screw up...did it LAST yr. MYSELF--my sister was SUPPOSED to help me, time was FAST approaching, etc. and well...I had to redo things 2-3 times...GRR!), AND she's going to sit down and check my flight info. (supposedly she booked me w/Expedia)...LOL...so...I'm kinda stressin' *just* a TAD! I also have a doctor's appt. this coming wk. (on the 18th), as well as I need (rather, it's been *suggested*) to get a medical plan in writing to take with me in the event I need to go to the ER (or even urgent care) re: my migraines.

I was SUPPOSED to have a post-op. CT scan/check up w/my NS initially Dec. 5 (had to cancel due to school conflicting...), rescheduled THAT appt. for Jan. 9 (cancelled THAT one for the same reason...SCHOOL!...GRR!), and have NEVER heard back from them so...I'm going UNPREPARED (i.e. NO scans!!) down there (from NC to FL). Oh well...something happens...'it' happens. I know, I know...I'd be SCREWED! I'm doubtful but considering...well...I was VERY much hoping I would be able to go with NO worries (ESEPCIALLY shunt-wise, considering I JUST had two surgeries LAST yr.--and FURTHERMORE...ONE being a SHUNT REVISION!!), with my scans (on CD ROM), etc.

I'll just go, hope and pray for the best,...ya know? Good thing I'll be SMACK dab between Tampa and Orlando (LOL)...*nervous laughter*. My sister told me "Well, if ANYTHING happens...we're only a 12 hr. drive". Gee, thanks ALLIE!

I'm excited, but still nervous...haven't flown since 2000--even then, that was my FIRST ever flight (that I can recall)--and I was NOT diabetic then, did NOT have migraines, etc...GRRRRRRRRRRR!

I have shunt tenderness (primarily the catheter that runs the length of my neck--and sometimes the tubing in my head, whether it be the 'old' tubing or NEW...yesterday I started having pain and tenderness right where the neck incision was (for last yr.'s revision) which doesn't worry me--it's just more of an 'inconvenience'; it's STILL present today). There was not (and still is NOT) any redness or swelling, so...WHEW! I know the percentages re: shunt infection and what 'risk(s)' there are at a certain time after revision and so forth...(or initial placement, of course). It just bugs me...

I knew I was in trouble last yr. when I started exhibiting s/s...even after close to !15! yrs. of NOT having a revision. That was one of my fears--NOT being able to recognize (*myself*) what the (potential) s/s might be/were...but *I* knew...OH BOY!! Good grief! It was interesting how 'events' transpired though...and so forth...(for each surgery).

OK, I'll shut up now...LOL!

Take care

Hope you're doing OK!

Erin

23y/o; "former premie" @ 30 weeks, 2#2oz., 10 1/4 in. long; hydro due to Grade III IVH(brain bleed), 12 surgeries, last revised 4/20/05, MIGRAINES dx'd 5/13/05;smallest baby in North Carolina to have a shunt inserted, CP dxed @ 2y/o;aunt to David Colby(5y/o) & Jordan Lee born 10/22/02(3#12,14 1/4"@2:27PM EST via C-section @ 36 weeks)--3y/o; Riley "Taylor"(niece---born:4/21/04@3 wks. early weighing 5# and 17.5"); ;-)future ANP(Adult Nurse Practitioner) working on neurology/neurosurgery floor, I hope!!;-);Dad passed away 10/3/03 due to acute renal failure, cardiac arrest, and anoxic brain injury("official" cause of death)

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  #17  
Old May 13, 2006, 09:47 PM
gwenith's Avatar
Aussie Mod
Join Date: Jul 2002
Re: Arnold Chiari Malformation

Can I bring this thread back to it's original topic - which was the treatment of Arnold Chiari Malformations.

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  #18  
Old May 13, 2006, 10:47 PM
EricEnfermero's Avatar
EricEnfermero (Male)
EricNurse
Join Date: Nov 2005
Re: Arnold Chiari Malformation

Originally Posted by gwenith
Can I bring this thread back to it's original topic - which was the treatment of Arnold Chiari Malformations.
Thanks for the reminder. Digressions from the original topic are normally my biggest pet peeves on here. Don't know what happened in this case.

Here is another link to get us back on track:

http://www.ninds.nih.gov/disorders/chiari/chiari.htm

Note that this NINDS page has links to several organizations and also links to clinical trials that are ongoing for ACM patients.

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  #19  
Old May 14, 2006, 10:52 AM
Registered User
Join Date: Dec 2000
Re: Arnold Chiari Malformation

(Blame) me...that's what happened. But...back on topic...

I apologize.

Proceed...

Erin

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  #20  
Old Jul 28, 2006, 04:44 PM
Registered User
Join Date: Oct 2005
Re: Arnold Chiari Malformation

hi gang

I am a registered nurse and i'm also a zipper head as we chiarians are fondly referred too after decompression surgery lol.
it is my experience that the size of herniation is not as important as the symptoms the patient is experiencing.
The world arnold chiari malformation site is a good site for info, also The chiari institutue in new york has tapes for sale online about chiari's. i've found some wonderful sites about this annoying and frustrating defect. I hope these two sites give you the info you were looking for.

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