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Doctor insights on: Arnold Chiari 1 Malformation

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What does left middle cranial fossa arachnoid cyst mean?

What does left middle cranial fossa arachnoid cyst mean?

Likely congenital: Typically found coincidentally when images obtained for very different purpose. Almost always present from birth, but on rare occasions can expand, but usually without mass effect. May be of value periodically to repeat scans to ascertain absence of issues. ...Read more

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Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Yes..serious stroke: Your info suggests brain vascular problems that are causing ischemia (reduced blood flow to brain tissue) which until now has been mild or transient but unless you quit smoking , among other preventive measures, you risk more serious ischemic brain injury or stroke ...Read more

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Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

May mean nothing : The bar is a bone spur. Caused by disc degeneration at that level. It is a common finding and may not mean anything clinically. The important question is whether or not there is actual spinal cord compression. Per your question, it sounds as if the spinal canal is narrowed a bit (stenosis), but there is not any spinal cord compression. Frequently, pt and traction can be of benefit. ...Read more

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I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.

I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.

Seems likely: Seems from what you say there is disc in the left nerve path. Not that this doesn't happen it does and fairly frequently. Sometimes even scar tissue can be guilty of these symptoms as well. Talk to your surgeon about further treatment. ...Read more

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Brain MRI cavernous angioma ?

Brain MRI cavernous angioma ?

Commonly seen on MRI: Cavernous angioma is a cluster of tiny but abnormal blood vessels that can be seen in the brain or spinal cord. Many people never experience symptoms from a cavernous angioma and may never even know they have one. They do have a tendency to bleed and depending on the location and size, they can cause seizures or other neurologic symptoms. ...Read more

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What causes a tarlov cyst on the spine?

What causes a tarlov cyst on the spine?

Congemital: Your born with them dont assume they appeared with your symptoms they are seenin asymptomatic patients as well. ...Read more

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Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

It depends: Prognosis for Pancreatic Cancer is typically quite poor. But in some patients(5-10%) the tumor can be completely controlled but 90+ percent do tend to get into trouble in one to two years after Surgery. Are you currently free of any visible Cancer in your abdomen? Tell us the details of your recent test results...do they show any tumors or have these been completely controlled??? ...Read more

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Routine scan showed lack of fluid in csp- cerebral dysgenesis was noted- Is this cerebral palsy indicator?

Routine scan showed lack of fluid in csp- cerebral dysgenesis was noted- Is this cerebral palsy indicator?

Confusing question: Cerebral Palsy is a pattern of impaired movement and posture related to an injury to the brains motor cortex that occurred during development.Cerebral dysgenisis is just a label for poorly developed areas of brain,possibly from injury . CP would be the expected outcome if the dysgenisis effected the motor areas of the brain, while it would not if the motor area was not involved. ...Read more

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Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?

Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression.  Surgery needed?

Need for 2nd O.R.: Adjacent level changes are common after fusion surgery. Conservative treatment is still warranted like therapy, body mechanics, and facet ( joint) injections, but surgery may be an appropriate option at the appropriate time. ...Read more

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L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

Back pain: You are describing low back arthritis in terms of an MRI of the lumbar spine. Low back pain can be generated from degenerated or torn discs, nerve impingement from herniated discs, and inflammed or degenerated joints (facet) that connect one segment of the spine with an adjacent segment. Reducing or eliminating low back pain involves physical therapy, injections, and possibly surgery. ...Read more

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What sort of disease is cerebral palsy (c.P.)?

What sort of disease is cerebral palsy (c.P.)?

Cerebral palsy is a : Group of disorders of impaired motor functions that are described by the way they limit mobility & hand use. Most commonly from a fetal brain malformation or injury that occurred any time from the 3rd week of gestation till term, about 10-20% of cases occur from asphyxia during labor & delivery or in the first years of life. Pediatric, early intervention services & subspecialty care all help. ...Read more

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MRI states: T2 hyperintensity with Semicircular Canal. What does this mean? I had 2 surgeries on my Semicircular Canal

MRI states:  T2 hyperintensity with Semicircular Canal. What does this mean? I had 2 surgeries on my Semicircular Canal

Probably scarring: T2 hyperintensity can mean many different things. If its next to the SC canal after surgery it's probably scarring. Best thing to do is talk with the treating surgeon or other doc, who can see how those changes correlate with your symptoms/signs. ...Read more

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Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Likely carpal tunnel: Both have overlap within the hands depending upon the distribution. MRI is necessary of cervical spine and in many cases if distribution is not distinct, further an EMG/Nerve conduction study to delineate. In most cases however, it is more likely the carpal tunnel is the culprit. Consultation/examination by a neurosurgeon would be most appropriate for diagnosis. ...Read more

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What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum

What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum

Disc & Facet Issues: Looks like by the verbage you gave, your MRI suggests that you have disc herniation at L5/S1. "Central" just means in the middle of the spinal canal,"bilateral facet degenerative change thickening flavum" suggests arthritis of the facet joint and the ligament that protects the spine is thickened due to that arthritis. Protrusion is just another name for a herniation. ...Read more

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Mitral valve prolapse - what are aortic root measurements for Marfan's syndrome.?

Mitral valve prolapse - what are aortic root measurements for Marfan's syndrome.?

MVP: Marfan's syndrome is a genetic connective tissue disorder. People with marfan's are unusually tall, with long limbs, long thin fingers. The most serious complications are defects of the heart valves (like mitral valve prolapse) and aorta (aneurysms-dilation). Aortic root measurements greater than 1 1/2 times normal are worrisome (average 4cm or greater). ...Read more

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My gf had a NRM.Diagnose: arachnoid cyst posterior fossa and left maxillary sinusitis.What to do next?Treatment?Complications can apper?

Arachnoid cysts: These are congenital abnormalities often discovered incidentally and nothing need be done unless creating symptoms in which case discuss with a neurosurgeon. Sinusitis can be easily managed if it is acute, but radiologic changes can occur due to old inactive disease. She needs to see her doctor and discuss these things. Why was this imaging study done to begin with? ...Read more

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Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more

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What sort of problem is an arteriovenous malformation?

What sort of problem is an arteriovenous malformation?

Vascular: I will refer this to experts in the blood vessels. Thanks for asking this important question. ...Read more

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