Chiari I malforamtion with syrinx

Case contributed by A.Prof Frank Gaillard

Presentation

Neck pain for years. Numbness in hands.

Patient Data

Age: 70 years
Gender: Female
Modality: MRI

14 x 9 x 98 mm (ML x AP x CC) T1 predominately hypodense, T2 hyperintense, non enhancing ovoid region is seen within the spinal cord spanning from C2 to T1/2 level. This is most in keeping with a syrinx. Patchy T1 hyperintensity within the syrinx. This may represent proteinaceous material (most likely) as there is no gradient echo change to suggest blood (not shown). No enhancement (not shown).

Pointed cerebellar tonsil extending 11 mm below the foramen magnum with obliteration of the cisterna magna.

Very minor central disc protrusions seen at the C3 to C7 levels. No canal or neural foraminal stenosis identified.

Case Discussion

This case demonstrates typical appearances of a Chiari 1 malformation with prominent cervical syrinx.

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Case Information

rID: 24258
Case created: 3rd Aug 2013
Last edited: 27th Feb 2016
Tag: spine
Inclusion in quiz mode: Included

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