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My MRI Report from Monday's MRI
I had my brain MRI on Monday morning and just received my MRI report. Would like opinions if you care to share.
Findings:
Slight encroachment by the cerebellar tonsils on the foramen magnum is accompanied by capsulosynovial proliferative change of the atlanto-odontoid articulation. This constellation of findings constitutes so called Chiari 0 anatomy and has been associated with headaches and neurological symptoms associated with interference of normal CSF migration through the foramen magnum related to cardiac and respiratory activity. No evidence of wedging of the cerebellar vermis, cervico-medullary kinking, syringohydromyelia, cervico-occipital assimialation, or hydrocephalous to suggest High Grade Chiari malformation. Mild asymmetric prominence of the temporal horn of the body of the right lateral ventricle without abnormal signal of the adjacent mesial temporal brain parenchyma.
Periventricular White Matter:
Mild uniform periventricular T2 and FLAIR hyperintensity noted otherwise, without extensive deep or subcortical white matter ischemic gliotic changes, but with accompanying altered signal involving brainstem.
Deep and subcortical white matter:
Solitary punctate focus of T2 and FLAIR hyperintensity within the deep white matter of the right temporal lobe. No perilesional edema, mass effect, thus, consistent with chronic gliosis as a etiology for this white matter hyperintensity in this patient with history of multiple sclerosis.
Brainstem:
Moderate gliosis of the brainstem for which sequela of chronic vertebrobasilar insufficiency is favored in this patient with ectasia of the basilar artery.
Intracranial Vasculature:
Left vertebral dominant, ectatic vertebrobasilar system noted. Evidence of vascular loops in the distribution of the exit root zones of adjacent nerves, without definite neurovascular conflict by artery or vein, thus favoring innocent juxta position of the nerves and vessels. Otherwixe expected flow void signal seen within the major contributors to and tributaries of the circle of Willis as well as the dominant venous outflow tracts.
Evidence of vascular loops in the distribution of the exit root zones of adjacent nerves, without definite neurovascular conflict by artery or vein, for which differential lies between innocent juxta position of the nerves and vessels versus vascular loop syndrome.
Anything you might have knowledge of here would help me. It all makes me wonder about the CCSVI or whatever the initials are. Thanks!!!
Deborah
Findings:
Slight encroachment by the cerebellar tonsils on the foramen magnum is accompanied by capsulosynovial proliferative change of the atlanto-odontoid articulation. This constellation of findings constitutes so called Chiari 0 anatomy and has been associated with headaches and neurological symptoms associated with interference of normal CSF migration through the foramen magnum related to cardiac and respiratory activity. No evidence of wedging of the cerebellar vermis, cervico-medullary kinking, syringohydromyelia, cervico-occipital assimialation, or hydrocephalous to suggest High Grade Chiari malformation. Mild asymmetric prominence of the temporal horn of the body of the right lateral ventricle without abnormal signal of the adjacent mesial temporal brain parenchyma.
Periventricular White Matter:
Mild uniform periventricular T2 and FLAIR hyperintensity noted otherwise, without extensive deep or subcortical white matter ischemic gliotic changes, but with accompanying altered signal involving brainstem.
Deep and subcortical white matter:
Solitary punctate focus of T2 and FLAIR hyperintensity within the deep white matter of the right temporal lobe. No perilesional edema, mass effect, thus, consistent with chronic gliosis as a etiology for this white matter hyperintensity in this patient with history of multiple sclerosis.
Brainstem:
Moderate gliosis of the brainstem for which sequela of chronic vertebrobasilar insufficiency is favored in this patient with ectasia of the basilar artery.
Intracranial Vasculature:
Left vertebral dominant, ectatic vertebrobasilar system noted. Evidence of vascular loops in the distribution of the exit root zones of adjacent nerves, without definite neurovascular conflict by artery or vein, thus favoring innocent juxta position of the nerves and vessels. Otherwixe expected flow void signal seen within the major contributors to and tributaries of the circle of Willis as well as the dominant venous outflow tracts.
Evidence of vascular loops in the distribution of the exit root zones of adjacent nerves, without definite neurovascular conflict by artery or vein, for which differential lies between innocent juxta position of the nerves and vessels versus vascular loop syndrome.
Anything you might have knowledge of here would help me. It all makes me wonder about the CCSVI or whatever the initials are. Thanks!!!
Deborah
My gosh Deb. When do you go to see the ordering Dr.?
And, was a comparison of the imaging done from when you were dx'd?
This change would have freaked me a bit too.
-Shell
And, was a comparison of the imaging done from when you were dx'd?
This change would have freaked me a bit too.
-Shell
Thanks. I was dx'd with RRMS almost 2 years ago. From what the Radiologists see, there is only one lesion in the right temporal lobe of my brain, however; I have a lesion on my spinal cord as well. I was told by one neuro that they could see other lesions in the brain that were not reported. When I read this report, I kind of freaked out over the brain stem gliosis. I'm beginning to wonder if I really do have MS. I guess if it weren't for the spinal cord lesion I'd really have to say I don't. It seems the chronic vertebrobasilar insufficiency may be more of a problem for me. Maybe the Chiari as well.
Man, that is some report! I'm not a doctor but the first paragraph I believe is talking about a Borderline Chiari Malformation meaning that the cerebellum tonsils are low but not below the forumen magnum (where the spinal cord leaves the brain and goes down the back) THen he goes on the say there are no complications of the Chiari at this time.
I suggest posting this in the Chiari Malformation forum and the Neurological Limbo forum.
lois
I suggest posting this in the Chiari Malformation forum and the Neurological Limbo forum.
lois
Wow, this is so detailed that I'm kinda lost. You definitely have some kind of chiari malformation problem (there's a MH forum for this), but how serious it is and what the other findings represent is beyond me. For me, a llttle knowledge can be a dangerous thing.
When do you see your neuro?
ess
When do you see your neuro?
ess
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