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Medical Forum / Diseases and Disorders / Epilepsy / October 2004A MRI looking for MS.
Ok, I have migraines (so he says)and i had 2 grand mals mothers day of 2003.Since then i have had numbness and recently burning in my feet. He sent me for a mri of the cervical spine looking for MS. I have the report and was wondering if anyone can tell me what this lingo means. The following sequences were obtained using a Toshiba 0.35 tesla magnet. sagittal and axial t1-wse pre and post gadolinium, sagittal double echo t2-wse and flair, and axial t2 wse echo imaging of the cervical spine. findings: the retropharyngeal soft tissue structures are within normal limits. the marrow signal intensity and alignment of the crevical spine are normal. the visualized posterior fossa is without mass. the cervical cord is normal in contour, caliber and signal. no pathologic cord enhancement is present post gadolinium. c2-3 and c3-4 are within normal limits at c4-5 there is a diffuse disc bulge with minimal central canal stenosis. at c5-6 there is a diffuse disc bulge causing very mild central canal stenosis. c6-7 this is a diffuse disc bulge with minimal ventral thecal sac effacement. at c6-t1 there is no disc bulge or portrusion. impression: mild cervial spondlosis at c4-7 with diffuse disc bulges but no significant central canal or neural foraminal stenosis. no pathologic enhancement post gadolinium. no cord lesion is identified. now, i am not asking anyone to take the place of my doctor and give advice.I have a appt with him on the 18th. i just wanted to know if any of this could be explained to me in english. thanks piper > Ok, I have migraines (so he says)and i had 2 grand mals mothers day of > 2003.Since then i have had numbness and recently burning in my feet. He [quoted text clipped - 32 lines] > > no pathologic enhancement post gadolinium. no cord lesion is identified. Bloomin' heck! > now, i am not asking anyone to take the place of my doctor and give > advice.I > have a appt with him on the 18th. i just wanted to know if any of this > could > be explained to me in english. Sorry, I can't. I suggest that you ask your doctor to give you a written translation which you can understand and don't be fobbed off by him/her. Ask specific questions and persist until you do understand - and either write things down or take a recording of the interview. Any decent doctor won't mind that s/he'll be pleased that you have an interest in your condition and won't try to patronise you. Let us know what happens! Mary > thanks > > piper I ain't no doctor but the tone of the diagnosis suggests that there were no significant anomolies detected by the MRI. It appears that some of your spinal discs are swollen but not to the point that they are going to severely affect the nerves inside your spinal cord. Xavier Mary Fisher wrote in message <416500be$0$2656$4c56ba96@master.news.zetnet.net>... >> Ok, I have migraines (so he says)and i had 2 grand mals mothers day of >> 2003.Since then i have had numbness and recently burning in my feet. He [quoted text clipped - 58 lines] >> >> piper Thank you, i just had no idea what that stuff meant. thanks piper > Ok, I have migraines (so he says)and i had 2 grand mals mothers day of > 2003.Since then i have had numbness and recently burning in my feet. He sent > me for a mri of the cervical spine looking for MS. I have the report and was > wondering if anyone can tell me what this lingo means. I'll take a stab at it. > The following sequences were obtained using a Toshiba 0.35 tesla magnet. The make (Toshiba) & power (0.35 tesla) of the equipment used for the Magnetic Resonance Imaging (MRI). An MRI uses a magnetic field and can see into the body much like an X-Ray can and gives "pictures" of internal parts of the body. It is the "camera", if you will, but it uses a magnetic field instead of visible light.. > sagittal and axial t1-wse pre and post gadolinium, sagittal double echo > t2-wse and flair, and axial t2 wse echo imaging of the cervical spine. Pictures were taken in several directions both before and after gadolinium was administered. Gadolinium is one of the elements just like iron, calcium, sodium, etc. When it is administered it is absorbed differently by various types of tissue and causes them to be highlighted in the pictures. > findings: > the retropharyngeal soft tissue structures are within normal limits. Those areas of the body all have medical terms for them. This one is in area that is basically near the windpipe & voicebox. No problem there. > the marrow signal intensity and alignment of the crevical spine are normal. The bone marrow in the neck bones is normal as is the alignment of the bones (vertebrae). > the visualized posterior fossa is without mass. Another area in the back of the skull where it meets the neck. No problem or abnormal growth.. > the cervical cord is > normal in contour, caliber and signal. No problems with the spinal cord in the neck portion. > no pathologic cord enhancement is > present post gadolinium. No abnormal growth showing in pictures taken after using gadolinium > c2-3 and c3-4 are within normal limits The spine consists of individual bones ( vertebrae) stacked on top of one another from the tailbone up to to the skull. There are 7 neck bones numbered from C1 (very topmost) down to C7. Between any 2 vertebrae there is a spinal disc for padding. C2-3 means the disc between discs numbered C2 and C3. > at c4-5 there is a diffuse disc bulge with minimal central canal stenosis. The central canal is the circular opening in the vertebrae through which the spinal cord travels. The discs naturally have that opening also. When a disc bulges, it bulges into that spinal cord canal and can cause pressure on the spinal cord with adverse effects. That particular disc is uniformly enlarged but is bulging into the spinal cord canal to only a minimal extent. > at c5-6 there is a diffuse disc bulge causing very mild central canal > stenosis. Same as previous. > c6-7 this is a diffuse disc bulge with minimal ventral thecal sac > effacement. ? > at c6-t1 there is no disc bulge or portrusion. OK. > impression: mild cervial spondlosis at c4-7 Mild arthritis of the neck in that area, a condition usually due to age. > with diffuse disc bulges but no > significant central canal or neural foraminal stenosis. There is disc bulging into the spinal cord canal, but nothing serious. > no pathologic enhancement post gadolinium. and nothing further shows up after using gadolinium. > no cord lesion is identified. Self-explanatory? > now, i am not asking anyone to take the place of my doctor and give advice.I > have a appt with him on the 18th. i just wanted to know if any of this could > be explained to me in english. If that doesn't leave you totally confused, the I haven't done my job. :-) Bob |
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