Guest guest Posted February 25, 2000 Report Share Posted February 25, 2000 If the neurosurgeon can't interpret them himself, you'd better find another neurosurgeon. > radiologists/CINE MRI > > What do you do if your neurosurgeon can't interpret them himself? How do > you know if the radiologist's report is accurate? Thanks, Jeanne > (still waiting for report for CINE-MRI done Dec. 22) > > ------------------------------------------------------------------------ > WACMA Site: http://www.pressenter.com/~wacma > Your Personal support group member page: > http://www.eGroups.com/group/chiari/ > **Avoid List Congestion: > Unsubscribe from this list: mailto:chiari-unsubscribeegroups > Contact list mgmt: mailto:chiari-owneregroups > > ------------------------------------------------------------------------ > > eGroups.com home: /group/chiari > - Simplifying group communications > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2000 Report Share Posted February 25, 2000 In my opinion, it's not just radiologists who sometimes don't know how to read CINE MRIs - neurosurgeons are in the same boat - we had several NSGs miss the CSF flow restriction in our daughter. It seems the problem is that Milhorat and perhaps a few others know to look in the cerebellar cisterns, perhaps having to measure the width of them - most docs don't consider this significant or even know about it. They always look to see if the opening of the spinal canal (foramen magnum) is blocked by the tonsils. Well, in people who have large enough herniations, this does occur and anyone can plainly see the blockage. However, in the no or minimal herniation cases, docs think there's plenty of room for CSF to flow, and this may be true to some extent. However, an underdeveloped shorter occipital bone causing a small posterior fossa will cause the cerebellar cisterns to be compressed - perhaps, this is not obvious when look at an MRI but Milhorat has noted that this is significant - it would've been nice had they put the measurements in the " Chiari I malformation redefined " article to give some perspective. That's the way I understand it. Anyone who has a clearer understanding, feel free to comment. Unfortunately, it seems the only way to be sure about CINE MRI results is to consult with an expert. Eurico > What do you do if your neurosurgeon can't interpret them himself? How do > you know if the radiologist's report is accurate? Thanks, Jeanne > (still waiting for report for CINE-MRI done Dec. 22) Quote Link to comment Share on other sites More sharing options...
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