HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does The Following MRI Report Suggest?

default
Posted on Tue, 14 Jul 2015
Question: Hello
How would you recommend that I get a MRI of my cervical spine to you? I have been dealing with neck pain (pretty sharp) but also feels like I am not getting enough blood to my brain. Could this be related to spine in any way? I had an echo done on my heart and it came back normal. I am going to get a doppler ultrasound on carotid arteies to see if blood is flowing freely. I am only 34 so if there is a restriction in blood could it be due to compression of some sort? My cervical MRI is a very large file (17Meg) so I don't think that I can download it. Please let me know if you have any suggestions.
Sincerely, XXXXXXX
doctor
Answered by Dr. Dr. Erion Spaho (20 minutes later)
Brief Answer:
You can upload the MRI report and some pictures.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

To say for shure is or is not any relation between neck pain and impaired blood flow to brain, there is need for a correlation between clinical and neurologic symptoms and imaging studies.

Impaired blood flow to brain is manifested with symptoms such clouding of consciousness, part of the body and extremities weakness, impaired vision, disequilibrium.

Impaired blood flow to brain with neck pain is possible at one condition: cervical artery dissection, but this condition is related to trauma or sudden, violent neck movement.

You can upload the MRI report written by Radiologyst, and you can upload some of the MRI images as pictures, if you can.

Cervical vessels ultrasound will give additional information about blood brain supply.

Awaiting for the MRI report and pictures...
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Dr. Erion Spaho (13 minutes later)
Not trying to be difficult, but not sure how to share MRI with you. Would you be willing to receive via Google Drive? I can send you a link. This the only way I am familiar with sharing larger files.
Regards, XXXXXXX
doctor
Answered by Dr. Dr. Erion Spaho (1 minute later)
Brief Answer:
Send the link then.

Detailed Answer:
Okay, you can send the link to Google drive.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Dr. Erion Spaho (4 minutes later)
Thanks. Hope this works...

https://drive.google.com/file/d/0B3FafOkL-67NWkNjbkdRVHhZR1U/view?usp=sharing
XXXXXXX

I should also add that sometimes it feels like I pinched a nerve in neck and have instant anxiety, increase in heart rate, and dizziness.

This is the link for the files associated with my MRI. You might need these when trying to view my report.

https://drive.google.com/folderview?id=0B3FafOkL-67NfkVSUnRNdWRBZGNzVlpuZ1ByQmpDdTRsd2V5VU0yeHNQbElRRUhTRE5HamM&usp=sharing

Thx XXXXXXX
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
Degenative spine disease should be treated.

Detailed Answer:
Hi again XXXXXXX

You uploaded DICOM files separately, so I had to download them one by one and regroup in a folder before viewing them.

Next time try to upload a folder with images inside.

Anyway, I examinated the MRI and besides a narrow spinal canal, desicated or degenative discs at C3-C4, C4-C5, C6-C7 levels with minimal bulges and effects on thecal sac, I don't see any other problem related to brain blood supply.

At C2 level, there is a suspicion about basilar impression, but not conclusive.

There are no Angio MR sequences, so it is difficult to judge about significant stenosis of cervical arteries.

Degenerative discal disease and spinal compression justify the neck pain and pinched nerves.

Heart rate changes and dizziness could be related to anxiety.

I suggest you to discuss with your Doctor about starting a treatment for degenative spine disease with NSAID drugs, physical therapy with the scope of reducing joint loading and strengthening cervical muscles.

In mean time let's see the results of cervical ultrasound.

Hope I helped you. Best regards.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Dr. Erion Spaho (6 minutes later)
Thank you. So just to be clear were you not able to see the complete mri report?
doctor
Answered by Dr. Dr. Erion Spaho (6 minutes later)
Brief Answer:
I saw the entire report you uploaded.

Detailed Answer:
I saw the entire report you uploaded ( 143 DICOM images ), but there were no such MR sequences like DWI, angio MR that are needed to complete this examination.

Take care. If you have further questions in the future, you can ask directly to me, I will be happy to help.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Dr. Erion Spaho (20 minutes later)
In your opinion are we talking a mild case, moderate, or severe case from what you viewed? And from what the reports did show, could anything contribute to brain fog?
Thanks for taking the time to answer questions. XXXXXXX
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
In my opinion, a mild case.

Detailed Answer:
Welcome back XXXXXXX

Related to symptoms you describe and MRI images, in my opinion, yours is a mild case.

Brain fog may be related to episodes of increasing pain, anxiety and seems not to have a vascular component, until proven otherwise by proper imaging studies such echography and MRA/ Or CTA.

Hope I helped you. Best regards.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Dr. Erion Spaho (12 hours later)
Thank you doctor.
doctor
Answered by Dr. Dr. Erion Spaho (7 minutes later)
Brief Answer:
You are welcome.

Detailed Answer:
Glad I helped you.

Best regards.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does The Following MRI Report Suggest?

Brief Answer: You can upload the MRI report and some pictures. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. To say for shure is or is not any relation between neck pain and impaired blood flow to brain, there is need for a correlation between clinical and neurologic symptoms and imaging studies. Impaired blood flow to brain is manifested with symptoms such clouding of consciousness, part of the body and extremities weakness, impaired vision, disequilibrium. Impaired blood flow to brain with neck pain is possible at one condition: cervical artery dissection, but this condition is related to trauma or sudden, violent neck movement. You can upload the MRI report written by Radiologyst, and you can upload some of the MRI images as pictures, if you can. Cervical vessels ultrasound will give additional information about blood brain supply. Awaiting for the MRI report and pictures...