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Chiari Malformation I
9/23 17:41:17

Question
Hello, I am so sorry for bothering you, but I've been having a lot of pain on the left side of my body, for a long time, I've been to doctors, chiropractors, but it just does not stop, I finally got an MRI a month ago, and I've been reading a lot, and feel a little concerned, I went to a neurologist, but he said that, the MRI was perfect, My chiropractor does not want to treat me, because of the cerebellar ectopia. I just move from Florida to California, I do not know where you are located, but I am sending you the report of the MRI, and I just want to know if I am OK, because I do not feel ok at all, everything hurts, I get dizzines, nauseas, a lot of fatigue, and sometimes feel like my head is going to explote, my left eye bothers a lot, and sometimes I can not even see the light. Please if you have time, and can help me a little with this I will really appreciate it,  I am 32 years old, have an 11 years old boy and a 1 year old too, it is a lot of work, but i get a lot of headaches and always feel bad, and tmy older son does not understand, and obviosly, the little one gives me a lot of work, and it is getting heavy, I feel weak. OK I wont Take you more time, thanks a lot for reading this, and if you can, just give me an answer, or explain this a little more to me because I am worry, and I want to know if I am going to need the suboccipital decompression. Thanks again,

Isabel



MRI OF THE CERVICAL SPINE:



CLINICAL INFORMATION:    Neck Pain. Rule Out Herniated nucleus pulposus.



COMPARISON STUDY:   There are no prior MRI or plain radiographs available for comparison.



PROCEDURE:   The study was performed utilizing a G.E. 1.5 Tesla M.R.I. scanner:



1.       3mm sagittal, TR 400/TE 20, 10 Slices; and

2.       3mm sagittal, TR 2850/FSE 110, 10 slices





Patient was unable to do axial views due to inability to refrain from movement for the study. The sagittal views obtained appear of diagnostic quality.



FINDINGS:   There is mild straightening of the lordotic curvature of the cervical spine centered at mid to upper cervical levels. Height of vertebral bodies and marrow signal are unremarkable. The right cerebellar tonsil extends 0.4 cm inferior to the foramen magnum, consistent with cerebellar ectopia. The fourth ventricle appears of normal position. Findings are borderline for Chiari Type I malformation. The cervical spinal cord is normal in signal and caliber. There is no evidence of syrinx. There is mild to moderate, up to 2 mm, C3-4 annular posterior disc bulge. The disc bulge does not abut the cervical spinal cord. The AP diameter of the central canal appears adequate, measuring 1.3 cm on sagittal views.



At C4-5, C5-6, and C6-7 there is slight posterior endplate disc protrusion, which does not impinge upon the cervical spinal cord. There is relative decreased hydration signal of the dicsc involving C2-3, C3-4, C4-5, and C5-6 levels.



IMPRESSION:  1- Mild to moderate, 2 mm, C3-4 annular disc bulge. Decreased hydration signal of C2-3 through C5-6 levels consistent with degenerative change.

2- Cerebellar ectopia of 0.4 cm which is borderline for chiari type I malformation in a patient of this age.

3- Mild straightening of the lordotic curvature of the cervical spine.  

Answer
Chiari,

I am a lawyer,not a doctor.Your mri is normal. I may have a Network chiropractor who can and will treat you successfully over time.It depends where you live. A physical therapist may be helpful. I do not know where you live or whetherthere is a network chiropractor there.
Richard Sindell

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