Doctor insights on:
Ataxia: Cerebellar degneration means that the part of the brain that controlls coordination and balance is losing cells and likely getting smaller. Ataxia is the clumsiness, imbalance, slurred speech and/or abnormal eye movements that can accompany cerebellar degeneration. A paraneoplastic cerebellar syndrome is when the body's immune response to cancer somewhere else damages the cerebellum "by mistake". ...Read more
Degenerative disease: A large group of sporadic and inherited disorders with symptom onset in the 5th decade of life. Main manifestations include ataxia, first in the legs then arms, hands and facial muscles.Characterized by extensive degeneration of the cerebellum, pontine nuclei and medullary olivary nuclei, opca's have been described with many other clinical findings. Treatment is symtom specific and variable. ...Read more
Borderline inferior cerebellar ectopia present, the cerebellar tonsils demonstrate mild
inferior herniation, measuring 4 mm sagittal sequence, means?
It most likely: doesn't mean anything. If that is the only finding, and the tonsils are otherwise normally shaped, some use less than 5mm as the normal range, so by that criteria 4mm would be normal. Others call 3-5mm benign tonsillar ectopia, an incidental asymptomatic finding. Most consider greater than 5mm to be abnormal(Chiari 1 malformation). The measurement is from the skull base to the tonsil tip. ...Read more
Shrinkage: The cerebellum is a posterior area of the brain important in balance and coordination. Atrophy implies this area is shrinking in size. Some causes could include alcohol abuse, hereditary spinocerebellar degenerations, and chronic ms. The underlying causation should be sought, as some conditions are reversible or controllable. ...Read more
Progressive disorder: Genetic and familial conditions can lead to a progressive degeneration of the cerebellum and brainstem structures. There are many different types. Multiple sclerosis can also cause progressive balance problems that can mimic degenerative disease. Tumors can also mimic degenerative disease. A quality MRI and good neurological evaluation is necessary. ...Read more
No one knows: Chiari described malformations of the cerebellum. Arnold added the defects in the brain associated with spina bifida. This became known as chiari type 2 or arnold chiari. There is kinking of the medulla and fourth ventricle, obstruction of the outlet of the fourth ventricle, peaking of brainstem, fusion of thalamus, as well as hydrocephalus and incomplete closure of spinal cord. ...Read more
No: The more accepted term is chiari malformation as arnold-chiari is an older term. This type of malformation is not a neural tube defect, but rather an abnormal migration of the cerebellar tonsils below the level of the foramen magnum (chiari type 1). This defect is attributed to a congenitally small posterior fossa, thus allowing the cerebellar tonsils to migrate downward. ...Read more
Loss of brain cells: This is a finding on either a CT scan or MRI of the brain. It is commonly seen in the elderly and can be a normal finding as we age. We tend to lose neurons or brain cells as we get older. This process can be increased with certain disease states such as dementia, infection, or poor nutrition. Typically this finding is coupled with cognitive impairment such as decreased memory or behavior problems ...Read more
Pls comment regarding ventricles(dysmorphic?)and cerebellar tonsils(borderline Chiari?).Frontal lobe atrophy ?MRI images in profile.
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MRI report- mild cerebellar tonsillar descent w/o molding of the cerebellar tonsillar around the magnum. Is this suggestive of Chiari?
Depends: Chiari is defined by the age and the amount of descent. Without those pieces of the story, it is just an observation. ...Read more
It is a: developmental congenital abnormality, occurring in isolation or in association with various cerebral abnormalities/syndromes.Agenesis of the corpus callosum is caused by disruption to development of the fetal brain between the 3rd and 12th weeks of pregnancy. In most cases, it is not possible to know what caused an individual to have ACC. ...Read moreSee 3 more doctor answers
FOR MY MOM INFERIOR CEREBELLAR TONSILLAR ECTOPIA 1.2CM BELOW FORAMEN MAGNUM.THERE IS A ASYMETRIC HERNIATION OF CEREBELLAR TONSILS RIGHT-1.2CM LEFT-8MM?
Chiari malformation : Arnold chiari malformation type 1 is defined by cerebellar tonsils that extend below the foramen magnum. The symptoms range from none to headaches, numbness, pain and weakness. The condition can become life threatening when cerebrospinal fluid is blocked. It is important to see a neurosurgeon with experience treating this disorder to discuss the therapeutic options. ...Read more
MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?
Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more
Seizures at night: A genetic form of epilepsy with onset in childhood, associated with clusters of seizures most nights, during sleep. Seizures are from the frontal lobe and often involve wild movements of the arms and legs. Need to try prevent injury from seizures. Treatable condition with antiseizure medications, but often difficult to control completely. Sometimes improves in adulthood. ...Read more
Possible Chiari: This statement means that a portion of your cerebellum (the cerebellar tonsils) is sitting lower down than is normal. If your cerebellar tonsils are low lying they can sit in an opening in your skull and get pushed on by your skull. This condition is called a Chiari I malformation. it can also cause compression on the brainstem. People whose cerebellar tonsils sit 12 mm low tend to have symptoms. ...Read more