Chiari 1 malformation with focal syrinx

Case contributed by Dr Bruno Di Muzio

Presentation

Altered sensation down left side of the body.

Patient Data

Age: 30-year-old
Gender: Male

CT Brain (selected images)

Modality: CT

Non-contrast Brain CT showing cerebellar tonsillar herniation through the foramen Magnum. Remainder brain (not shown) is unremarkable.

MRI Cervical and Thoracic spine (selected images)

Modality: MRI

Technique: Multiplanar, multisequence non-contrast imaging performed. Imaging compared to the previous MRI.

Findings: Stable 7mm descent of the cerebellar tonsils, with minimal crowding of foramen magnum. Fusiform high T2 signal (CSF signal) centrally within the cord at the T4-T5 level with maximum AP dimension of 3.6 mm is unchanged. There is no surrounding T2 hyperintensity or associated mass. Vertebral body alignment, height and marrow signal are preserved. Small right paracentral disc osteophyte complex at C5/6 does not cause significant canal stenosis. Right-sided uncovertebral osteophyte at C5-6 and C6-7 cause minor foraminal narrowing.

Conclusion: Low lying cerebellar tonsils and upper thoracic syringohydromyelia are stable.

Case Discussion

This case is illustrative of the Chiari I malformation, in which there is a caudal descent of the cerebellar tonsil through the foramen magnum. There is also an upper thoracic cord syrinx.

PlayAdd to Share

Case Information

rID: 40970
Case created: 9th Nov 2015
Last edited: 10th Nov 2015
Tag: rmh
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.