Chiari I malformation and extensive cervico-thoracic syringohydromyelia

Case contributed by Mohammad A. ElBeialy
Diagnosis almost certain

Presentation

Adult female with bulbar manifestations, dysesthesia, bilateral upper and lower limbs weakness.

Patient Data

Age: 30 years
Gender: Female
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T2
This study is a stack
Axial
Gradient Echo
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T2
This study is a stack
Axial
T2
This study is a stack
Coronal
T1
This study is a stack
Coronal
T2
Basion-opisthion
line
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Info

Chiari I malformation with extensive cervico-thoracic syringohydromyelia. Downward tonsillar herniation for about 15 mm below the basion-opisthion line is seen.

C5/C6 posterior disc protrusion is seen as well.

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