Presentation
Cape like distribution of pain and paresthesia.
Patient Data
Age: 20 years
Gender: Female
From the case:
Chiari 1 malformation with syrinx
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There is caudal descent of the cerebellar tonsil through the foramen magnum.
An expansile intramedullary lesion is seen in the spinal cord extending from the cervical cord down to the conus medullaris (extends beyond the field of view). It appears hypointense on T1 and hyperintense on T2/STIR with areas of pulsation artefacts. This appearance is in keeping with a long segment syrinx.
Case Discussion
This case demonstrates the typical features of Chiari 1 malformation with a long segment syrinx.
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