Possible Ehlers-Danlos Syndrome with craniocervical instability

Posted by derrickbff @derrickbff, Sep 25, 2018

I'm sending my scans into the Rochester neurosurgery department with some papers regarding symptoms, measurements, etc. I guess I'm just trying to gauge my chances for being taken seriously with this. I've been seen by 25+ physicians for the same symptoms over 8 years to no avail. I've included the pictures shown here as well as others in the package. Symptoms: loss of balance and coordination, tinnitus, dysphagia, fatigue, formication, constipation and bloating, tremor in both hands, cold hands and feet, slurred speech, 82% oxygen via sleep apnea precursor test. I hope they don't get upset as I've added some pictures of diagnostic procedures for measuring skull angles. I just can't help myself after more or less being dismissed for 8 years. I took the measurements with the image with the red lines. Via the report from Barcelona neurosurgeon Vicenç Gilete the measurements are close. His measurements were 129 degrees neutral CXA (which is pathological) and Grabb-Oakes at 9.4mm which is also pathological.

Interested in more discussions like this? Go to the Bones, Joints & Muscles Support Group.

I did a little research and it seems I take 3 meds on a daily basis and 1 as needed for migraines that interact with the serotonin levels.
Should I be concerned about my symptoms?

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@derrickbff

An Ehlers-Danlos diagnosis really isn't as important to me right now as getting my neck fixed due to the possible EDS. I tried to get genetic testing but due to only having hyper-elastic skin and no dislocating joints (other than thumbs) I was denied, Locally that is. Though she, (the rhuemotologist), didn't notice any hypermobility, my last MRI report stated that my c2 facets were significantly exposed in right/left rotation. It then stated in the next sentence that "this may represent hypermobility" . I'm actually trying to get craniocervical instability diagnosed because that's what would be causing my symptoms for the most part. Then hopefully I can get an odontoidectomy to reduce the retroflexion of the c2 vertebra as well as fusion for the unstable area. The report I got from Vicenç Gilete, a Neurosurgeon from Spain who deals with Chiari malformations and Ehlers-Danlos complications, is the only doctor who agrees that this is most likely what I have. I included his report in the package I sent. His measurements of my skull angles were pathological and indicative of brainstem compression. An Ehlers-Danlos diagnosis would be nice but that's at the bottom of the to-do list. Though it would be good to get vascular EDS tested for because it's dangerous. Do you think they will be upset that I added measurement tools with pictures to the package? I only do this because, like I said in the first post, I've been dismissed as a psychiatric patient for the last 8 years. How does loss of balance and dysphagia/globus sensation stem from depression...?

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Hello @derrickbff I have a similar story but was denied consultation by Mayo twice: self-referral and primary care referral last year.

I have also seen 25+ neuro/ortho specialist to no avail and also believe I have craniocervical instability. I have lived in a "paraspinal spasm" (termed such by the FIRST doctor) for 2-1/2 years and continue to suffer nerve and muscle anomalies throughout my body which began with constant twitching and spasms 24/7 reduced significantly over time and started following a car accident months before.

While MRIs have differed across with various results: edema, impingement C6, broad osteophyte complex, severe bilaterial foraminal narrowing, thyroid nodule, loss of vertebral height, loss/reversal of cervical lordosis, among other things, it was a digital motion xray that identified retrolisthesis, anterolisthesis, unnatural "overhang" at craniocervical junction, extraneous distance of spinous processes indicating stretched/torn ligaments of ALL, don't open and close my mouth properly among other issues.

I sought an EDS diagnoses as I have pelvic organ prolapse (rectocele), can "dislocate" my shoulder, suffered sweating abnormalies/temperature abnormalities, used to be able to bend my thumbs forward, and now developed a premature atrial contraction. The doctor stated I didn't meet the criteria since it was "changed" although I absolutely believe I have it-my niece's doctor suggested she has it.

Other symptoms: I suffer allodynia on my right forehead and sensation issues on the right side of skull as well as various nerve anomalies all over my body. Nerve conduction only revealed "few positive motor neurons" in the cervical spine. @derrickbff do you have any of these symptoms? NOBODY will refer me to experts or diagnosis and couldn't get in here. Anyone know why?

I ;wish you the best and if you get accepted by Mayo or other institution for treatment or diagnosis, please let me know! This affects every second of every day and has permanently altered my life.

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@deborahfischer

Hello @derrickbff I have a similar story but was denied consultation by Mayo twice: self-referral and primary care referral last year.

I have also seen 25+ neuro/ortho specialist to no avail and also believe I have craniocervical instability. I have lived in a "paraspinal spasm" (termed such by the FIRST doctor) for 2-1/2 years and continue to suffer nerve and muscle anomalies throughout my body which began with constant twitching and spasms 24/7 reduced significantly over time and started following a car accident months before.

While MRIs have differed across with various results: edema, impingement C6, broad osteophyte complex, severe bilaterial foraminal narrowing, thyroid nodule, loss of vertebral height, loss/reversal of cervical lordosis, among other things, it was a digital motion xray that identified retrolisthesis, anterolisthesis, unnatural "overhang" at craniocervical junction, extraneous distance of spinous processes indicating stretched/torn ligaments of ALL, don't open and close my mouth properly among other issues.

I sought an EDS diagnoses as I have pelvic organ prolapse (rectocele), can "dislocate" my shoulder, suffered sweating abnormalies/temperature abnormalities, used to be able to bend my thumbs forward, and now developed a premature atrial contraction. The doctor stated I didn't meet the criteria since it was "changed" although I absolutely believe I have it-my niece's doctor suggested she has it.

Other symptoms: I suffer allodynia on my right forehead and sensation issues on the right side of skull as well as various nerve anomalies all over my body. Nerve conduction only revealed "few positive motor neurons" in the cervical spine. @derrickbff do you have any of these symptoms? NOBODY will refer me to experts or diagnosis and couldn't get in here. Anyone know why?

I ;wish you the best and if you get accepted by Mayo or other institution for treatment or diagnosis, please let me know! This affects every second of every day and has permanently altered my life.

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Hi,
Can I ask if possibly you have craniocervical instability due to alar or transverse ligament damage in C1 or C2 causing havoc to the rest of the cervical neck region? Can I also ask where you got your DMX (Digital Motion X-ray)? I too suffered from what I believe is craniocervical instability. Seen with individuals who have hit the back of their heads due to trauma and have either stretched or damage their alar and/or transverse ligaments in C1, C2 area. I exhibit many of the symptoms after a bad whiplash with hitting the back of my head...the brain fog, vertigo, vision change, muscle soreness upper neck and back, dizziness, head tremors, swallowing difficulties, rapid heart beat, fatigue, nausea, sweating, GI disturbance, memory loss, tachycardia. It also can cause issue with the TMJ(temporal mandibular joint) or jaw. I have researched in my area for doctors that special in this and have only come across centenoschultz.com in Colorado and caringmedical.com in Florida. They have a more conservative approach of PRP and bone stem cell injections for treatment in the cervical spine but especially the C1, C2 area. Was hoping to get a confirmed diagnoses with the DMX so I can start to pursue treatment options. I have seen a physical therapist who has me working on my deep flex muscles which has helped, PRP with shock wave treatments the cervical muscles and a chiropractor who helps keep me aligned until I am not. Any information is welcomed.

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Find a Regenerative Medicine doctor ... 6 doctors in 3 years for what turned out to be a hypermobile SI Joint. After a bad hip operation the previously fixed joint became hypermobile again and the mobility extended up the spine. Again, a regenerative medicine doctor tightened the ligaments of a few of the cervical joints and I am good. Also DO's have Digital motion X-ray that can determine if joint mobility is the issue and which ones in particular need their ligaments fixed.
Good luck ...

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My son has Chiari Malformation. It usually comes with EDS. Have any of you guys had MRI checking cerebellum tonsils hanging out lower than normal. Usually starts at a 5 mm deviation

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@brendaohrt

Hi,
Can I ask if possibly you have craniocervical instability due to alar or transverse ligament damage in C1 or C2 causing havoc to the rest of the cervical neck region? Can I also ask where you got your DMX (Digital Motion X-ray)? I too suffered from what I believe is craniocervical instability. Seen with individuals who have hit the back of their heads due to trauma and have either stretched or damage their alar and/or transverse ligaments in C1, C2 area. I exhibit many of the symptoms after a bad whiplash with hitting the back of my head...the brain fog, vertigo, vision change, muscle soreness upper neck and back, dizziness, head tremors, swallowing difficulties, rapid heart beat, fatigue, nausea, sweating, GI disturbance, memory loss, tachycardia. It also can cause issue with the TMJ(temporal mandibular joint) or jaw. I have researched in my area for doctors that special in this and have only come across centenoschultz.com in Colorado and caringmedical.com in Florida. They have a more conservative approach of PRP and bone stem cell injections for treatment in the cervical spine but especially the C1, C2 area. Was hoping to get a confirmed diagnoses with the DMX so I can start to pursue treatment options. I have seen a physical therapist who has me working on my deep flex muscles which has helped, PRP with shock wave treatments the cervical muscles and a chiropractor who helps keep me aligned until I am not. Any information is welcomed.

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Sounds like chiari 1 malformation

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@deborahfischer

Hello @derrickbff I have a similar story but was denied consultation by Mayo twice: self-referral and primary care referral last year.

I have also seen 25+ neuro/ortho specialist to no avail and also believe I have craniocervical instability. I have lived in a "paraspinal spasm" (termed such by the FIRST doctor) for 2-1/2 years and continue to suffer nerve and muscle anomalies throughout my body which began with constant twitching and spasms 24/7 reduced significantly over time and started following a car accident months before.

While MRIs have differed across with various results: edema, impingement C6, broad osteophyte complex, severe bilaterial foraminal narrowing, thyroid nodule, loss of vertebral height, loss/reversal of cervical lordosis, among other things, it was a digital motion xray that identified retrolisthesis, anterolisthesis, unnatural "overhang" at craniocervical junction, extraneous distance of spinous processes indicating stretched/torn ligaments of ALL, don't open and close my mouth properly among other issues.

I sought an EDS diagnoses as I have pelvic organ prolapse (rectocele), can "dislocate" my shoulder, suffered sweating abnormalies/temperature abnormalities, used to be able to bend my thumbs forward, and now developed a premature atrial contraction. The doctor stated I didn't meet the criteria since it was "changed" although I absolutely believe I have it-my niece's doctor suggested she has it.

Other symptoms: I suffer allodynia on my right forehead and sensation issues on the right side of skull as well as various nerve anomalies all over my body. Nerve conduction only revealed "few positive motor neurons" in the cervical spine. @derrickbff do you have any of these symptoms? NOBODY will refer me to experts or diagnosis and couldn't get in here. Anyone know why?

I ;wish you the best and if you get accepted by Mayo or other institution for treatment or diagnosis, please let me know! This affects every second of every day and has permanently altered my life.

Jump to this post

Sounds like another chiari 1 malformation

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Getting the proper diagnosis for Cervical instability is EXTREMLY difficult. Few Drs know how to properly diagnose it. Most Drs think that it should show up on a supine MRI, which you can find multiple sources online and info elsewhere that state you may need an upright MRI.

Unfortunately, I am stuck, I don't know of anyone in the midwest Mayo region that has experience with instability.

I do PT, Chiro, dry needling (my neck is extremely tight), etc and am still suffering. My quality of life is crap somedays.

I also have dysautonomia and probable EDS. I have an appt with the neuro department in Rochester, and really hope they don't let me down. I am already in debt from medical tests etc and I pay for the highest tier of insurance mayo has available. I do work for Mayo, but I don't exactly make decent money.

IF anyone has a contact with a Dr at Mayo that knows anything about Cervical instability please send me a message!!

I cannot afford prolotherapy nor regenerixx treatment at this time.

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Csalter

I am new to this and just learning somewhat how to comment. I was just fixing to ask the same question about cervical instability at the Mayo Clinic in Rochester. I have been dealing with cervical instability for years, and have teardrop pain daily. I am fused c3-c-6. With the transverse and alar ligaments loose causing the issue. You do need to find a Dr that does the DMX films they are rare I know of one in Denver and ft myers Florida I’ve been to them both. That is the best way to determine if you have instability and how bad. I have been treated at the centennial/Shultz clinic in Broomfield Colorado 5 times with bone marrow steam cell therapy. Since my problem is the alar and transverse ligaments they went in threw the mouth and injected these ligaments the only place in the world to do this. It normally takes 2-4 times since I was fused it has been and still is a difficult area to treat with good success. I’ve spent two years in the process. It is extremely expensive. I’m seeking other options of anyone on this topic and or experience. I messed up and tried soft wave therapy after I had made good progress with steam cell therapy due to the pain I was still experiencing, but my neck was much tighter at the time. . Huge mistake. It took away everything I had done for two years all I had gained. I am broken over this, I was told it would help with the pain, also the doctor said he had done it on necks and no problem, but it breaks everything down and you have to rebuild I was so mislead, now my neck is loose again I’m Dizzy all the time and chronic tight muscles and hard knots in my muscles that bring tears just turning my head and total fog in my thinking. It’s been a long hard journey, I don’t think I have it in me to start over and sure don’t have the kind of funds stem cell therapy cost. Hope this helps be glad to share more or support, but also asking if anyone else is on this journey and if Mayo has anything to offer.

REPLY
@deborahfischer

Hello @derrickbff I have a similar story but was denied consultation by Mayo twice: self-referral and primary care referral last year.

I have also seen 25+ neuro/ortho specialist to no avail and also believe I have craniocervical instability. I have lived in a "paraspinal spasm" (termed such by the FIRST doctor) for 2-1/2 years and continue to suffer nerve and muscle anomalies throughout my body which began with constant twitching and spasms 24/7 reduced significantly over time and started following a car accident months before.

While MRIs have differed across with various results: edema, impingement C6, broad osteophyte complex, severe bilaterial foraminal narrowing, thyroid nodule, loss of vertebral height, loss/reversal of cervical lordosis, among other things, it was a digital motion xray that identified retrolisthesis, anterolisthesis, unnatural "overhang" at craniocervical junction, extraneous distance of spinous processes indicating stretched/torn ligaments of ALL, don't open and close my mouth properly among other issues.

I sought an EDS diagnoses as I have pelvic organ prolapse (rectocele), can "dislocate" my shoulder, suffered sweating abnormalies/temperature abnormalities, used to be able to bend my thumbs forward, and now developed a premature atrial contraction. The doctor stated I didn't meet the criteria since it was "changed" although I absolutely believe I have it-my niece's doctor suggested she has it.

Other symptoms: I suffer allodynia on my right forehead and sensation issues on the right side of skull as well as various nerve anomalies all over my body. Nerve conduction only revealed "few positive motor neurons" in the cervical spine. @derrickbff do you have any of these symptoms? NOBODY will refer me to experts or diagnosis and couldn't get in here. Anyone know why?

I ;wish you the best and if you get accepted by Mayo or other institution for treatment or diagnosis, please let me know! This affects every second of every day and has permanently altered my life.

Jump to this post

I posted a long comment about cervical instability you might want to read right now don’t have the energy to rewrite but reach out if you want more info

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