Aa
hi gang!
posted this first in the neurology forum thinking that would be the best place, but had no takers....thought i would give it a try here and see if i had better luck. just going to copy and paste as it's long.
but been a member on the chiari forum for quite a while. need a little help with deciphering a recent mri of the c-spine. had one done on 06/21/10 here were the finding:
at the c5-6 level, there is dorsally directed osteophytic spurring with some ventrally directed osteophytic spurring without evidence for disk herniation, canal stenosis, or of neuural foraminal narrowing.
impression: mr imaging targeted to the cervical spine confirms the presence of the patient's modest chiari I malformation without evidence for underlying syrinx. reportedly the patient has had an interval occipital craniectomy for a chiari I malformation. the configuration of the cerebellar tonsils is similar to the 2003 examination (projectiong approximately 4mm through the foramen magnum on the current examination and 5mm on the prior study) there is no evidence for cord signal abnormality. early arthritic changes are noted at c5-6 where there is dorsal disk abnormality with associated osteophytic spurring which only mildly attenuates the ventral csf space.
current mri taken on 09/28/10
at the c3-4 level, there is early left uncovertebral joint osteophytic spurring without evidence for disk herniation, canal stenosis, or of neural foraminal narrowing.
at the c5-6 level, there is dorsally directed osteophytic spurring without evidence for disk herniation, canal stenosis, or of neural foraminal narrowing. the arthritic change minimally indents the ventral surface of the thecal sac.
on the sagittal t2 images, flow voids are present within the vertebral arteries bilaterally and there is no evidence for vertebral dissection.
impression:
there is no evidence for convincing cord signal abnormality. there is no evidence for cerebeller tonsillar ectopia. there is no evidence for fracture or dislocation. there is no evidence for significant bone marrow signal abnormality. mr imaging targeted to the cervical spine demonstrates early osteoarthritic change at c5-6 without evidence for fracture, dislocation, or dissection. there is evidence for prior surgery involving the skull base region without evidence for significant abnormality at this time.
on a regular xray taken on 9/21/10, which prompted my neurologist to order the mri, the impression reads:
since the last examination some narrowing of the c5-6 intervertebral disc space has occurred.
the same radiologist read all studies. FYI....i did have the decompression surgery and partial laminectomy of c1 for chiari malformation on 11/23/09. my herniation measured 9.6mm!!!!!!!!!!! so, not only does this dr. contradict himself, i don't trust him for obvious other reasons. but ASSUMING something he says is accurate, i would like to have a better understanding of just what it is he is saying.
thanks in advance for any help you have to offer and if you need to know symptoms to help me figure this out, let me know. thanks again! elizabeth
but been a member on the chiari forum for quite a while. need a little help with deciphering a recent mri of the c-spine. had one done on 06/21/10 here were the finding:
at the c5-6 level, there is dorsally directed osteophytic spurring with some ventrally directed osteophytic spurring without evidence for disk herniation, canal stenosis, or of neuural foraminal narrowing.
impression: mr imaging targeted to the cervical spine confirms the presence of the patient's modest chiari I malformation without evidence for underlying syrinx. reportedly the patient has had an interval occipital craniectomy for a chiari I malformation. the configuration of the cerebellar tonsils is similar to the 2003 examination (projectiong approximately 4mm through the foramen magnum on the current examination and 5mm on the prior study) there is no evidence for cord signal abnormality. early arthritic changes are noted at c5-6 where there is dorsal disk abnormality with associated osteophytic spurring which only mildly attenuates the ventral csf space.
current mri taken on 09/28/10
at the c3-4 level, there is early left uncovertebral joint osteophytic spurring without evidence for disk herniation, canal stenosis, or of neural foraminal narrowing.
at the c5-6 level, there is dorsally directed osteophytic spurring without evidence for disk herniation, canal stenosis, or of neural foraminal narrowing. the arthritic change minimally indents the ventral surface of the thecal sac.
on the sagittal t2 images, flow voids are present within the vertebral arteries bilaterally and there is no evidence for vertebral dissection.
impression:
there is no evidence for convincing cord signal abnormality. there is no evidence for cerebeller tonsillar ectopia. there is no evidence for fracture or dislocation. there is no evidence for significant bone marrow signal abnormality. mr imaging targeted to the cervical spine demonstrates early osteoarthritic change at c5-6 without evidence for fracture, dislocation, or dissection. there is evidence for prior surgery involving the skull base region without evidence for significant abnormality at this time.
on a regular xray taken on 9/21/10, which prompted my neurologist to order the mri, the impression reads:
since the last examination some narrowing of the c5-6 intervertebral disc space has occurred.
the same radiologist read all studies. FYI....i did have the decompression surgery and partial laminectomy of c1 for chiari malformation on 11/23/09. my herniation measured 9.6mm!!!!!!!!!!! so, not only does this dr. contradict himself, i don't trust him for obvious other reasons. but ASSUMING something he says is accurate, i would like to have a better understanding of just what it is he is saying.
thanks in advance for any help you have to offer and if you need to know symptoms to help me figure this out, let me know. thanks again! elizabeth
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