Chiari I malformation and extensive cervico-dorsal syringohydromyelia

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Upper limb weakness with tingling and numbness. Brain and cervicothoracic spine to asses for demyelinating disorders.

Patient Data

Age: 40 years
Gender: Female
This study is a stack
Sagittal
T2
This study is a stack
Coronal
T2
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T2
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T2
This study is a stack
Sagittal
T1 C+
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Axial T2
fat sat
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Info

Chiari I malformation with a large cervico-dorsal syringohydromyelia extending from C1 to D11 level.

Downward tonsillar herniation for about 7 mm below the basion-opisthion line is seen.

Case Discussion

Typical Chiari 1 malformation with syrinx extending from the cervical into the thoracic cord. 

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