Re: flip flop mri for occult tight filum terminale?

[Guest guest]

Sorry , what is a flip-flop MRI!!! If I know that then I can comment

on the rest of your email

Thanks

Nina

--On 20 March 2006 15:15 +0000 amandamariebaker

wrote:

> Hello everyone,

>

> I've heard that a " flip flop " mri can help detect tethered cord. Can

> it help detect occult tight filum terminale as well? Or, would it not

> be as helpful in detecting this type of tcs?

>

> Thanks,

>

>

>

>

>

>

> Not Medical Advice. We Are Not Doctors.

> Need help with the list? Email

> kathy@...,michelle@..., rick@...

>

[Guest guest]

Hi Nina,

Sorry about that...I assumed you all had heard of it already. It's

a method that Dr. Frim in Chicago just started doing to look for

tethered cord in chiari patients when it's hard to detect. First,

you have an mri on your back. Then, one on your stomach.

Supposedly, if everything is normal, gravity will have an

effect...when you're on your back, the spinal cord will appear to

rest against the dorsal side of the dura. When you're on your

stomach, it will appear to rest against the anterior side. Of

course, if it's tethered, this would not be the case.

What I am wondering is, would this method be reliable to detect

whether the filum terminale is tethered? Or, would this method only

work in cases where the cord itself is tethered?

Thanks,

>

> > Hello everyone,

> >

> > I've heard that a " flip flop " mri can help detect tethered

cord. Can

> > it help detect occult tight filum terminale as well? Or, would

it not

> > be as helpful in detecting this type of tcs?

> >

> > Thanks,

> >

> >

> >

> >

> >

> >

> > Not Medical Advice. We Are Not Doctors.

> > Need help with the list? Email

> > kathy@...,michelle@..., rick@...

> >

[Guest guest]

,

Do you see Dr. Frim? That is who my daughter sees. My

daughter who is also , and if you see Frim, are

you in the Chicago area?

Thanks,

Tommi

's Mom Chicago, Il.

--- amandamariebaker

wrote:

> Hi Nina,

> Sorry about that...I assumed you all had heard of it

> already. It's

> a method that Dr. Frim in Chicago just started doing

> to look for

> tethered cord in chiari patients when it's hard to

> detect. First,

> you have an mri on your back. Then, one on your

> stomach.

> Supposedly, if everything is normal, gravity will

> have an

> effect...when you're on your back, the spinal cord

> will appear to

> rest against the dorsal side of the dura. When

> you're on your

> stomach, it will appear to rest against the anterior

> side. Of

> course, if it's tethered, this would not be the

> case.

> What I am wondering is, would this method be

> reliable to detect

> whether the filum terminale is tethered? Or, would

> this method only

> work in cases where the cord itself is tethered?

> Thanks,

>

>

>

> >

> > > Hello everyone,

> > >

> > > I've heard that a " flip flop " mri can help

> detect tethered

> cord. Can

> > > it help detect occult tight filum terminale as

> well? Or, would

> it not

> > > be as helpful in detecting this type of tcs?

> > >

> > > Thanks,

> > >

> > >

> > >

> > >

> > >

> > >

> > > Not Medical Advice. We Are Not Doctors.

> > > Need help with the list? Email

> > > kathy@...,michelle@..., rick@...

> > >

[Guest guest]

Hi, thanks for this. I now know what you mean, although I have never heard

of this being used over here

Generally when the FT is tethered, the cord is stretched in a bowstring

formation, i.e. instead of curving round the structure of the bones in the

spinal column, it is stretched tight from top to bottom. As a result I

wouldn't think that it would be able to move when the filum is still

tethered. However, on a post-op MRI (without being turned), I could see

that my cord had relaxed and followed the contours of the bones, so this

flip-flop method may work. I think it depends on how tight the cord was

stretched and how badly it was damaged (i.e. does it still have elasticity

to move)

Lots of questions and unless we are trained in reading MRIs we are not

really qualified to comment knowledgeably about it!

Best wishes

Nina

--On 21 March 2006 18:51 +0000 amandamariebaker

wrote:

> Hi Nina,

> Sorry about that...I assumed you all had heard of it already. It's

> a method that Dr. Frim in Chicago just started doing to look for

> tethered cord in chiari patients when it's hard to detect. First,

> you have an mri on your back. Then, one on your stomach.

> Supposedly, if everything is normal, gravity will have an

> effect...when you're on your back, the spinal cord will appear to

> rest against the dorsal side of the dura. When you're on your

> stomach, it will appear to rest against the anterior side. Of

> course, if it's tethered, this would not be the case.

> What I am wondering is, would this method be reliable to detect

> whether the filum terminale is tethered? Or, would this method only

> work in cases where the cord itself is tethered?

> Thanks,

>

>

>

>>

>> > Hello everyone,

>> >

>> > I've heard that a " flip flop " mri can help detect tethered

> cord. Can

>> > it help detect occult tight filum terminale as well? Or, would

> it not

>> > be as helpful in detecting this type of tcs?

>> >

>> > Thanks,

>> >

>> >

>> >

>> >

>> >

>> >

>> > Not Medical Advice. We Are Not Doctors.

>> > Need help with the list? Email

>> > kathy@...,michelle@..., rick@...

>> >

[Guest guest]

How long ago did he start it? Just curious, as I

was having these done over 10 Years ago.

Me

Nebraska, USA

mymocha@...

It's

> a method that Dr. Frim in Chicago just started doing to look for

> tethered cord in chiari patients when it's hard to detect. First,

> you have an mri on your back. Then, one on your stomach.

>>