Dr. Vivek Chail
General Practitioner
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 26 years old male. I have been facing dizziness and brain fog for the past five months. It is permanent all day. It is not like vertigo. It is more like I see through a glass window. I was born with Arnold Chiari syndrome but had successful surgery. My neurosurgeon told me that time, it is cured fully, and I do not need to except any changes in the future. All my blood tests were normal. Could you please check the MRI of my brain, cervical and thoracic spine? Can you find any abnormalities? Please help.
Hi,
Welcome to icliniq.com.
I understand your concern.
Please attach MRI (magnetic resonance imaging) brain scan images again as I cannot view them. The review of MRI cervical spine is: Cervical lordosis is normal. Vertebral bodies appear normal with no evidence of collapse or bony destruction. Cervical lordosis is maintained, and no subluxation or dislocation. Atlantoaxial articulation seems normal. No features suggestive of basilar invagination. Neural arches appear normal. The intervertebral discs appear normal. Neural foramina appear normal.Pre/paravertebral soft tissues appear normal. The impression of the scan is: There is no significant vertebral or spinal cord abnormality in the MRI cervical spine. The visualized cerebellar tonsils are normal. Please share the surgery details regarding the correction of Arnold Chiari. The review of MRI Thoracic spine is: Thoracic vertebral bodies are showing Schmorls nodes in T7 to T11 vertebral levels.No collapse or bone destruction. Dorsal kyphosis is maintained. No spondylolisthesis. Posterior elements appear normal. The dimensions of the thoracic spinal canal are normal and mild posterior disc bulge at the T8-T9 disc level. No neural foraminal compromise. No spinal canal stenosis.The thoracic spinal cord is normal without abnormal signal intensity alterations. The perivertebral soft tissues are unremarkable. The impression of the scan is Schmorls nodes in T7 to T11 vertebral levels. Mild posterior disc bulge in T8-T9 disc level. No neural foraminal compromise. No spinal canal stenosis.From the above, Schmorls nodes in the thoracic spine might cause mild pain in the mid back area. Please send the MRI brain scans and surgery details of Arnold Chiari to evaluate the cause of your fog and visual disturbances.
I hope this helps.
Patient's Query
Hi doctor,
Thanks for your reply. I am again attaching my reports below. Please check.
Hi,
Welcome back to icliniq.com.
I understand your concern.
I have reviewed the MRI brain images (attachment removed to protect the patient’s identity). The brain structures are normal to the extent visualized, and there is no significant abnormal area. There is mild bilateral ethmoid sinusitis which might have caused a soft stuffy nose.
I hope this helps.
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General Practitioner
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