Orbital Canal Decompression

topic posted Fri, May 25, 2007 - 7:00 PM by  Tracey
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Hi Everyone,

I have been busy with medical tests, which have been a 4 hour drive away just one way. My eye doctor sent me to a Neurologist, who ordered an MRI and an EEG. I finally received the results yesterday, and this is what the letter said:

-"I have reviewed the recent cranial MRI and orbital MRI, which demonstrate features consistant with a diagnosis of diaphysial dysplasia. The MRI demonstrated severe thickening of the entire skull and skull base, causing secondary deformity of the brain itself. The internal auditory canals were completely obliterated by bone and there was marked overgrowth of the optic canals posterior to the orbital foramina. There was no MRI evidence of intracranial hypertension.

I had considered obtaining a CSF sample following completion of the MRI; however, I think this is unnecessary. She has bilateral optic atrophy, which is almost certainly a consequence of obliteration of the optic canals. I will discuss this patient further with Neurosurgery. It may be possible to perform orbital canal decompression. I have written to Dr. Hentschel in this regard."-

So that is what I have been dealing with lately. Today I received 2 more letters, one for an app't for a CT scan, and another to have a consult with the Dr. Hentschel mentioned above. I have already had decompression surgery on my skull in 1994 and that one was bad enough. This other surgery they are talking about is much more dangerous. I am nervous and scared and am tired of going through all of this stuff already.

Does anybody have any info or experience with what I wrote above?? I would love to hear what you have to say, because other than my husband, you guys are the only other people that know what I'm really going through. Hope to hear from you soon.

Tracey
posted by:
Tracey
Canada
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  • Re: Orbital Canal Decompression

    Sat, June 9, 2007 - 5:36 AM
    What exactly does this operation involve?
    • Re: Orbital Canal Decompression

      Sun, June 17, 2007 - 9:11 PM
      I'm not completely sure about what the surgery all involves. I have researched it a little bit, and all the cases have been done on extreme trauma victims who were in accidents. The surgery has been done for many years, and used to go through the skull. Some cases though have now gone through the nose. Some how the surgeon allieviates pressure on the optic nerve by taking out bits of bone from around the nerve. I start researching it, then get disgusted and very scared by what I read, and I stop researching. I have a consult with the surgeon in Sept, so I will have a lot of questions for him then.

      Tracey
      • Re: Orbital Canal Decompression

        Mon, June 18, 2007 - 4:55 AM
        I can imagine how terrifying it must be and I honestly wish that there was some kind of magic wand that I could wave to make everyone better! Its frustrating for me to know that there are so many wonderful people in the world suffering terrible things because of CED, but I simply dont know where to even begin trying to find help!
        I hope you know that I am thinking of you and wishing only good things for you! I am not a religious person, but I pray that someday there will be help for us all!
        You know where I am if you need a friend! :o)

        Love, Christina. xx
  • Re: Orbital Canal Decompression

    Thu, July 12, 2007 - 4:24 AM
    Hi there! My name is Mary and I have had a very similar surgery. I was diagnosed with CED or PDD when I was 17 years old. I am now 39. I’ve been in pain most of my life but it got worse around the time I started my period at 11. It took from 11 years to 17 years to get a correct diagnosis.

    My optic nerve problems started around 2001. At first I tried to ignore it since it was only in one eye. I started to notice that when I bent down my I would see black in one eye for about 20 seconds. At first it was just a nuisance. I made my rounds to the doctors in my area and no one knew what the problem was. One doctor, a brain surgeon in my area was convinced I needed a shunt. I was about to go through that surgery when I fell off a ladder and broke my leg, ending up in my local hospital. (I call it divine intervention!) This happened Oct 11th 2002, while in the hospital I told the doctors about the impending shunt surgery. They raised their eyebrows to that and immediately called in one of the brain surgeons from the hospital. It was his advice that I get a hold of the bone disease doctors and it was his professional opinion that in fact I did NOT need a shunt. A little later I found out that the Surgeon that wanted to put the shunt in was not a very good doctor and that it ended up being a good thing that I broke my leg because it prevented me from getting the shunt. I called my doctors up at Cedars Sinai, Dr. David Rimoin and Dr. Bill Wilcox up in Los Angeles that know all about CED and PDD and they pointed me to an eye specialist that directed it to Dr. Howard Kraus. Dr Kraus did a few tests and then told me in a straightforward way, “You have a tremendous pressure on your optic nerve. If this doesn’t get fixed soon, I believe you will be totally blind by Christmas! It was the end of August 2003. Dr. Kraus got on the phone at that moment and Called Dr. Keith Black’s office. I don’t know if you have heard of him. At the time, we had no idea who he was. We found out quickly that Dr. Black is “The Man!” He is a world-renowned brain surgeon that has operated on people that were considered “In-operable” He has a bunch of famous patients. So we had an appointment with Dr. Black who then put Dr. Danielpour on my case. Dr. Danielpour is one of Dr. Black’s colleague’s in the same office. Dr. Danielpour is the pediatric brain surgeon on staff at Cedars. I’ll never forget our first meeting with him! My husband and I get to his office and the first thing he says to me is,” How long has your mouth been drooping like that!” I was shocked! Hw had never seen me in his life and he is pointing out things I hadn’t even noticed! I told him I didn’t know that my mouth was drooping! As the appointment went on Dr. D told us there was no surgery in any of the medical books for what I needed. He said that he was going to have to make it up! That was scary! He said he had been in touch with fellow brain surgeons out of the state and they needed to go over some concerns. They basically had me sign a bunch of paperwork and told us they would be in touch. The next time we went up Dr. D said we have to move fast since they were worried there was going to be more damage. They told us that they had made up a surgery they were hoping was going to work. They had no percentages to give us on of I would live through it. We asked what would happen if I opted to not have the surgery. He said I would go blind and die eventually! So that wasn’t an option. So on September 10, 2003 I was wheeled in to have a radical experimental decompression brain surgery, the first of it’s kind! The best part was when I was being wheeled out of surgery into recovery and my husband bent down and whispered in my ear, “It’s me honey and you lived! Your all done with your surgery!” I knew I had lived at that point! The doctors were not very happy that my vision didn’t go back to normal. They were hoping it would be instant. It was about 8 weeks after my surgery and I was just starting to bend over a little bit. I leaned down to pick something up and my vision didn’t go out. I almost didn’t notice it because I was so used to turning black. So I did it again and thought to myself don’t freak out it’s the middle of the night! I didn’t want to tell my husband right away because I didn’t want him to get his hopes up that my sight was for sure restored for good! So, I waited a day or two to make sure it was real. It was! I told him and he was so happy! This surgery saved my life and these doctors are amazing. They are the ones that write the books on these diseases.

    I feel so much for you right now. I know that when I was going through all the symptoms and daily life before the surgery, it could get pretty scary. You feel like there is no one out there that could possibly understand what you are going through. I know for myself I rely heavily on my faith.

    I would love for you to write me back and I would be happy to pass on any information to you. I have phone numbers of all the doctor’s that have worked with me and I know they are going to want to know about this tribe! What are the symptoms you are going through now? I was not only loosing my sight but I was walking into things even though I knew they were there, I was dropping things all the time, things like that. I also had no peripheral vision. That is what I lost first. I have it back now and I know I have some damage. I know you can’t go almost 2 years with something like this and not have some damage. I am able to drive again with no problem. I hope some of this might help. There are many more details I left out and I would be happy to talk about it as much as you feel comfortable. Take it day by day and don’t feel guilty if your not having a good day. Do your best and that is good enough! Please feel free to e-mail me any time or leave a message on the website.
    Hope this helps,
    Mary
    handyspice@cox.net
    • Re: Orbital Canal Decompression

      Mon, August 13, 2007 - 8:32 PM
      Dear Mary,

      I just checked out the site again, and your post was there about the surgery. I would like to know more about what the doctors did and what your surgery actually entailed. How old were you? How long was the surgery? How evasive was it - did they cut into your skull, go through your nose or something else? What ever you can tell me would be most helpful as I have my consult to talk to a neurosurgeon in Sept. I just had a CT scan this week that the neurosurgeon ordered and I am waiting for results. How are you affected by CED? What does the P stand for in PDD? You can email me personally if you want - trace@sasktel.net.

      Thanks for all the info
      Tracey
      • Unsu...
         

        Re: Orbital Canal Decompression

        Mon, September 3, 2007 - 8:05 PM
        Hi Tracey,
        How are you? I hadn't heard from you in a little while and i just want to check that you are going along ok? Any further news about the surgery? If you need anything please feel free to contact me. Take care chooky, my thoughts are with you.
        xxoo
        • Tad
          Tad
          offline 6

          Re: Orbital Canal Decompression

          Fri, September 7, 2007 - 3:13 PM
          My father who also has CED has had a surgery very similar. He was having terrible headaches and he had part of his skull removed in the back where the brain lobes head down to the spine. Since then he has had no problems. The surgery went fine and he is well now.

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