Author Topic: Get Better Glen Thread! (some skin shown) (Read 942209 times)

Hey all,

Sorry I've been away so long. Its been pretty busy around here.

I briefly read your MRI report, and will have to spend a few more minutes with it than I have now, so I'll try to do that tonight if possible. The one thing I'm seeing is that you have bi-formainal stenosis, which can certainly cause the upper extremity numbness. This can be caused by the accident, but again I need to read it more thouroughly. I'll have to do some more research on the Chiari malformation, but as I recall, it is usually a congenital issue that is found incidently when there is trauma and we start looking around. I think you could make an argument that it can be exacerbated (made worse) by trauma, and make a previously unnoticed condition suddenly symptomatic.

In the mean time, here is something to hold your attention until I can get back on line....

Opps, noticed something that was not supposed to be visible, and I'll have to post something else later. Sorry for the tease

Erik

79coyotefrg · « **Reply #3945 on:** May 29, 2008, 03:39:13 PM »

but BUTT i didnt get to see it

MiniSimp · « **Reply #3946 on:** May 29, 2008, 05:42:11 PM »

Quote from: germ on May 29, 2008, 03:24:01 PM

Opps, noticed something that was not supposed to be visible, and I'll have to post something else later. Sorry for the tease

Lady Di · « **Reply #3947 on:** May 29, 2008, 06:17:08 PM »

BLACKDOG · « **Reply #3948 on:** May 29, 2008, 07:27:28 PM »

porkchop · « **Reply #3949 on:** May 29, 2008, 08:21:18 PM »

busted?.......

germ · « **Reply #3950 on:** May 29, 2008, 08:45:31 PM »

Ok, I'm back (sort-of) $Beer Chug\'n$

Lets look at the MRI report in some more detail.

We already discussed the first paragraph, so we'll skip to the next.

C0-C1: Here he is describing a Chiari Malformation, which by his description is very mild. he does describe the "absence of the normal membranous and ligamentous anatomy at the cervicooccipital junction". This basically means that the structures which hold the skull to the cervical spine seem to be missing (or are very difficulty to see). In theory, this increases the risk of the skull becoming disloged from the cerivcal spine if struck with enough force. (this is theoretical, otherwise your head would fall off if you sneezed)

C1-C2: Very complicated way of saying this level is normal.

C2-C3: There is some hypertrophy (overgrowth) of the area where the bones meet in the back, which is suggestive of arthritis. otherwise it is normal.

C3-C4: The disk is slightly pushed backwards, which may not have any real clinical significance. There is hypertrophy (overgrowth) of the tissue/structures around the small holes where the nerve roots come out of the spine. He does not suggest that it is actually pressing on the nerve roots, which can be a cause of pain, numbness or weakness.

C4-C5:Again, normal with the same narrowing. Again he does not mention the nerves in this description.

C5-C6: Same as above.

C6-C7: Same as above.

C7-T3: This area is normal.

In the conclusion, he states that there is no evidence of significant neural effacement, which basically means that the nerves are not being crushed by the overgrowth of tissue.

More in the next post...

unclejpl4x4 · « **Reply #3951 on:** May 29, 2008, 08:49:11 PM »

Quote from: MiniSimp on May 29, 2008, 05:42:11 PM

[edit by MWM] Glen requested I clean up the thread some he's got to show it to some people

Thats so ME

germ · « **Reply #3952 on:** May 29, 2008, 09:11:40 PM »

Lets look at Chiari Malformation a bit.

First, it is believed to be congenital (there from birth), because the guy (Hans von Chiari) who first described it in 1891 was finding abnormalities in post-mortem exams (autopsies) on infants. Studies of family trees find that it seems to be a genetic disorder, with variable presentation (not everyone who has the gene has the malformation). unfortunatly, there is no conclusive evidence at this time.

here is a picture of an MRI with the malformation labeled.

A,B, C and E you can ignore; they are just anatomical structures only a geek like me are interested in, and don't help explain anything.

D shows the protrusion of the cerebellar tonsills into the spinal canal.

F is the cerebellar hemisphere, which lies just above the cerebellar tonsils.

germ · « **Reply #3953 on:** May 29, 2008, 09:16:17 PM »

Here is another picture with the actual malformation circled. Maybe a bit easier to see.

79coyotefrg · « **Reply #3954 on:** May 30, 2008, 02:18:35 AM »

Erik, the DID do a MRI of the brain, I will get it faxed to you tomorrow

79coyotefrg · « **Reply #3955 on:** May 30, 2008, 02:30:53 AM »

mild enchroachment of cerebellar tonsils on the foramen magnum accompanied by capsulosynovial proliferative change of the atlanto-odontoid articulation. Noevidence of wedging of the cerebellar vermis, cervicomedullary kinking, syringohydromyelia, cervico-occipital assimilation, or hydrocephalus to suggest high grade chiari M
in spite of cerebellar tonsilliar ectopia, prominant retrocerebrellar CSF space is noted posteriorly above the foramen magnum.

79coyotefrg · « **Reply #3956 on:** May 30, 2008, 02:34:31 AM »

small puncate foci of CSF signal within the basal ganglia bilaterally for which incidental benign prominent perivascular spaces of Virchow Robin type I are favored. Dilated VR spaces typically occur in three characteristic locations.

Toymin8r · « **Reply #3957 on:** May 30, 2008, 05:18:34 AM »

Quote from: 79coyotefrg on May 30, 2008, 02:30:53 AM

mild enchroachment of cerebellar tonsils on the foramen magnum accompanied by capsulosynovial proliferative change of the atlanto-odontoid articulation. Noevidence of wedging of the cerebellar vermis, cervicomedullary kinking, syringohydromyelia, cervico-occipital assimilation, or hydrocephalus to suggest high grade chiari M
in spite of cerebellar tonsilliar ectopia, prominant retrocerebrellar CSF space is noted posteriorly above the foramen magnum.

Quote from: 79coyotefrg on May 30, 2008, 02:34:31 AM

small puncate foci of CSF signal within the basal ganglia bilaterally for which incidental benign prominent perivascular spaces of Virchow Robin type I are favored. Dilated VR spaces typically occur in three characteristic locations.

Oh I understand everything now.

Soooo..... Whats that mean in english?

fordh8r · « **Reply #3958 on:** May 30, 2008, 08:54:26 AM »

Quote from: toymin8r on May 30, 2008, 05:18:34 AM

Soooo..... Whats that mean in english?

It means Glen needs more meds.....up the meds, please....

MiniSimp · « **Reply #3959 on:** May 30, 2008, 09:04:08 AM »

For the top of the new page, too good to miss

Quote from: MiniSimp on May 30, 2008, 06:33:08 AM

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