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4912206 tn?1361104202
Treatment desired
my mother in laws MRI of study was performed using spin echo and fast spin echo techniques using dedicated quadrature head coil. Serial T1, T2, coronal and saggital scans were obtained.

Present MR study reveals -

Diffuse atrophic changes are seen in bilateral cerebellar hemispheres, pons and lower mid brain with positive "hot cross bun" sign in pons- s/o multiple system atrophy.

Ventricular system and sulcal spaces are also prominent due to mild diffuse cerebral atrophic changes.

Grey-White matter differentiation is preserved, Bilateral thalami are normal.

No focal structural lesion, mass effect or midline shift.

Sella, parasellar and supraseller region are normal.

Fourth vertricle and basal cisterns are prominent.

IMPRESSION: Diffuse atrophic changes are seen bilateral cerebellar hemisphere, pons and lower mid brain with positive "hot cross bun" sign in pons - s/o multiple system atrophy.

Ventricular system and sulcal spaces are also prominent due to mild diffuse cerebral atrophic changes.

MAGNETICR ESONANCEIM AGING( M.R.l)R EPORT
(1.5 TESLA MRI SYSTEM)
M.R.I SGAN OF CERVICAL SPINE :
MR imaging of cervical spine was performed using spin echo and fast spin echo techniques Serial
section were obtained in saggital and axial planes using dedicated quadrature cervical spine coil.
Straightening of cervical curvature is seen.
Cervical spondylosis.
Disc dessication with diffuse bulge and small left para central extruded disc at C5-6 level,
indenting the theca and left hemicord ,causing mild to moderate left lateral recess
The vertebral bodies are normal is alignment and height.
No intra spinal mass is seen.'
No pre or para vertbral collection seen.
Cranio-vertebral juction is normal.
OPINION - Straightening of Cervical curvature is seen.

Cervical spondylosis.
Disc dessication with diffuse bulge and small left para central extruded disc at C5-6 level, indenting the theca and left hemicord, causing mild to moderate left lateral recess stenosis.

Kindly advise the treatment to be taken and precaution.

Mukesh Sharma
9001196819
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2 Answers
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1711789 tn?1361311607
Hi there!

The MRI describes cerebral atrophy (reduction in the size), which may be expected with age and signs of multi system atrophy (neurodegerative condition). Also described are mild-moderate degenerative changes along the cervical spine with a disc bulge at C5/C6 indenting the spinal cord and causing narrowing of the space that carries the exiting spinal nerves.
      Management in such cases should be divided into management of the neurodegenerative condition, which would be largely symptomatic and rehabilitative since there is no cure and management of the cervical issues which is conservative in mild-moderate cases and surgical in severe cases or in cases with neural compression. It would be best to consult a neurologist for a detailed evaluation and suggestion of an appropriate management plan.
Hope this is helpful.

Take care!
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4912206 tn?1361104202
Thanks Sir,

I consulted to Dr. Ashok Pangaria, well known Neurologist in Northern India and residing in Jaipur.

Dr. Pangaria suggested us that there is no medicine and the medicine prescribed are not sufficient to care. They advised us to wait for time to coming patient on bed.

Now a days patient is doing his own daily routine.

Kindly suggest us some better neurologist then Dr. Pangaria. for betterment of patient.

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