
What Does The Following MRI Report Suggest?

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
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...


Regards, XXXXXXX
Send the link then.
Detailed Answer:
Okay, you can send the link to Google drive.


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
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.


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.


Thanks for taking the time to answer questions. XXXXXXX
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.


You are welcome.
Detailed Answer:
Glad I helped you.
Best regards.

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