Guest guest Posted June 6, 2007 Report Share Posted June 6, 2007 Ray, I can't thank you enough for letting us know this is available. I want to sit here until I watch every single one. Dr Georgy Koentges (Cellular and molecular origins of Chiari I/II) was absolutely amazing. I have been in a somewhat heated conversation/disagreement about Chiari I and Chiari II and that their origin is the same and I simply can't believe the timing of this video. My family has been soo affected by Chiari and related conditions, I am just bursting with appreciation for the work this man is doing. I wish I could have been there in the room, but this is certainly the next best thing. On a personal note, my NS here in Pittsburgh speaks as well (Dr Ghassan Bejjani) and although the University here tied his hands in treating my Borderline or Zero Chiari, I was moved to tears at the end of his presentation at how he speaks of this condition. It was very interesting also, that he elaborated on what Dr Bolognese talks about in one of his videos, that it was a small group of radiologists focusing on a small group of patients that decided on the 5mm herniation as the hallmark and the basis of radiographic diagnosis of Chiari Malformation I. KUDOS, Dr Bejjani!! I've been through lots of ups and downs over the years with him, but I always knew deep down he " gets it " and he cares. He is trying to open others eyes. I'm sure I'll have lots more to say as I continue to watch and learn, but for now, another HUGE thank you to Ray for letting us know!! The direct link is http://hosted.mediasite.com/hosted4/Catalog/front.aspx?cid=b5900f0b-efac-45e9-a5\ b1-ac4e8e9bb220 Hope everyone's have a good day! Blessings and Love, P.S.-I was able to watch the videos by choosing Not to download/install the Active X and just choosing continue. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2007 Report Share Posted June 6, 2007 One more quick comment on what Dr Bejjani had to say. There was a mom in our group that has a daughter with hydromyelia (syringomyelia)that has never been diagnosed with Chiari. (I've read a lot about idiopathic syringomyelia and how many believe they are undiagnosed zero chiaris) He comments more than twice that patients that have a syrinx/hydro and borderline chiari certainly prove that zero chiari is real and that the herniation as the basis of diagnosis needs to be re-examined. His exact words are " Syrinx don't lie....you can't fake a syrinx " Blessings Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2007 Report Share Posted June 6, 2007 Me again.....hyper day today I think Ray was being very modest. On the second page of the symposium videos, you will find one by Ray D'Alonzo. http://hosted.mediasite.com/hosted4/Catalog/front.aspx?cid=b5900f0b-efac-45e9-a5\ b1-ac4e8e9bb220 Ray, I can't tell you how moved I was to hear you speak for all of us. Before my decompressions, I was so desperate to stop the relentless pain that I had terrible nights locked in our bathroom wishing to end all of it. I thought I would never live through the nightmare I was in. Some days, I can't believe I've made it to where I am now. I just can't thank you enough for speaking up for all of us. It takes a lot of courage for you to share all you shared. Thank you, from the bottom of my heart for representing those of us that don't get the chance to speak up. Many blessings, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2007 Report Share Posted June 6, 2007 Hi everyone, I had to comment on the Symposeum webcast. I watched one of the presenters about CSF flow and the CINE MRI. He happens to be a Radiologist from UW Wisconsin Hopitals and Clinics in Madison WI. what he presented was very interesting and got me thinking. Being I have so much pressure in my head, as many of us do I'm thinking that I need one of these flow studys done. Thankfully I am a old patient at this hospital and a lot of my old records are still there. I called the Neurology department there and asked how hard it was to get in with Dr.Bermans Iskandr (NS)They said it wouldn't be to hard but there were some things that I needed to do before I came. Apparently this Dr. is very knowledged about Chiari and does a lot of studies regarding our condition. The nice thing about this is it's my home town and I wouldn't have to worry about a place to stay or food etc, like I would with TCI. If TCI is difficult to get in with, or to far maybe checking into UWHC would be a good start. I have to tell you that this UW is a teaching facility (one of the best) and a lot of good Drs come out of there. If you want to contact them the number is . Hope this helps someone out there. a decompression 2004, lots of symptoms! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2007 Report Share Posted June 6, 2007 Hi guys.. Just wanted to add to this... A CINE is obviously a " good tool " for CM. It's use with CM is fairly new, and it does need to be read by someone with good chiari experience. This is something that can be asked of any surgeon one is considering for themselves. Also Dr. Iskandar is already listed on our " Suggested Dr. map " ..Please go and check it out, if you haven't already! http://www.chiariconnectioninternational.com/map.html ... Take care, Sally R...Decompression '91... Hydro..VP shunt with 2 revisions...Doing well, without medication, in Bethlehem,Pa. Re: Conquer Chiari Symposium Webcast > Hi everyone, > > I had to comment on the Symposeum webcast. I watched one of the > presenters about CSF flow and the CINE MRI. He happens to be a > Radiologist from UW Wisconsin Hopitals and Clinics in Madison WI. > what he presented was very interesting and got me thinking. > > Being I have so much pressure in my head, as many of us do I'm > thinking that I need one of these flow studys done. Thankfully I am a > old patient at this hospital and a lot of my old records are still > there. I called the Neurology department there and asked how hard it > was to get in with Dr.Bermans Iskandr (NS)They said it wouldn't be to > hard but there were some things that I needed to do before I came. > Apparently this Dr. is very knowledged about Chiari and does a lot of > studies regarding our condition. The nice thing about this is it's my > home town and I wouldn't have to worry about a place to stay or food > etc, like I would with TCI. > > If TCI is difficult to get in with, or to far maybe checking into > UWHC would be a good start. I have to tell you that this UW is a > teaching facility (one of the best) and a lot of good Drs come out of > there. If you want to contact them the number is . > > Hope this helps someone out there. > > a > > decompression 2004, lots of symptoms! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2007 Report Share Posted June 6, 2007 I just finished watching Ray's presentation at the Symposium. I just wanted to say that what Ray presented is exactly what needs to be presented across the nation to physicians, neurologists, and neurosurgeons. Precisely the fact that yes, we may be depressed or anxious, but it is not what is causing our symptoms. But, rather the other way around. Also, I appreciated the fact that he discussed that physicians will think of radial nerve injury of the wrist as more important and brainstem compression is not really a big deal. That way of thinking really needs to be reversed. As a nurse, I have researched brainstem compression, vagus nerve compression, and reduced CSF flow and all are very serious. Whatever the actual cause: ACM, Craniocervical Instability, Cranial Settling, or Tethered Cord Syndrome. When a person is involved in trauma from a fall, car accident, gun shot wound, or whatever the emergency room physicians are very keen on assessing closed head injuries or intracranial hemorrhage which we know causes the brain to swell and there is no room in the skull for the swelling, thus permanent nerve damage or death can occur. Usually, it is a result of pressure on the brainstem. That is why they don't want you to move your neck if they suspect a neck injury. It can stop your breathing or heart. My point is that trauma is not the only factor that can do that. I am in full agreement with Ray and am greatful that he brought it up. Thanks so much Ray and all the presenters at the Symposium. I'm glad to see there are more Symposiums and Conferences being done on this subject. Respectfully, --------------------------------- Take the Internet to Go: Yahoo!Go puts the Internet in your pocket: mail, news, photos & more. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2007 Report Share Posted June 8, 2007 I just watched one of the presentations today. What a wonderful opportunity this is! Although some of it was too technical for me to grasp, I thought it was very interesting and I still got something from it. I watched the presentation on failed decompression given by Dr. Bejjani. To me, one of the most interesting comments was something he said after the presentation, during the Q & A time. He said that " pushed-down tonsils alone is not true Chiari. " (He was referring to the presence of symptoms and/or other related conditions.) I really liked seeing photographs of titanium mesh used in some decompressions. When he was talking about anterior and posterior flow and other factors that there isn't enough evidence to support or refute, it was a little harder to follow, but still interesting. Even though he was " preaching to the choir " with a room filled with physicians, he emphasized that there is still so much they don't know and such a need for more research. I'd be interested to hear other reactions, particularly from others who watched the presentation about failed decompressions. Kim in Columbia MO Quote Link to comment Share on other sites More sharing options...
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