MRI reading

[taylapj]

Hi I wonder if anyone could make sense of this for me,   " slight assymetry of temporal horns of lateral ventricles with the right being bigger than the left".  My guess from trying to research it is that it's nothing to be concerned about I just don't understand what it means. Thanks in advance. ;-)





[Diagnosis of Chiari Malformation type 1 / Prolapsed Discs cervical / Moderate Scoliosis]

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

The temporal horns of the lateral ventricles can be asymmetric for several reasons. This can be a normal variant on the MRI/CT (whichever you had). The images are taken at certain angles. If the neuroimaging technologist does not align you correctly, the ventricles will be asymmetric. If you have epilepsy, the asymmetry may be indicative of asymmetry of the temporal lobes. The asymmetry can also be the result of a prior insult (e.g., trauma, stroke, etc) to the brain. Other conditions that can cause the temporal horns to be asymmetric are hydrocephalus (e.g., increased cerebrospinal fluid in the ventricles) or increased edema (e.g., swelling of the brain).  

There are several causes for asymmetric temporal horns. This information needs to be taken in the clinical context. Why did you have a scan performed? You should discuss the results with your physician.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.

[taylapj]

By the way, My NL has pretty much dismissed most findings on my MRI. and has referred me to a fibromylegia/ CFS specialist. The NL and the spinal team think my 'disc protrusion' is small but the private neurosurgeon i saw thinks is pretty significant for someone my age [29].

[taylapj]

Hi thanks for your response, I had a Mri In febuary for bad headaches which would be so painfull and last for days where I couldn't move my head, vertigo with flashes on purple lights in my eyes, extreme fatigue, muscle weakness, random electric shock pains daily, I had MRI top to toe and was found to have disc prolapse cervical, moderate scoliosis affecting hip and shoulder, 3mm chiari, obliteration of fluid space.