Chiari Malformation is a collection of congenital anomalies where the cerebellum, cerebellar tonsils, and medulla oblongata are pushed past the foramen magnum and into the cervical spine. Chiari malformations are graded based on how far the hindbrain is pushed past the foramen magnum. T1 and T2 weighted images show anatomically the herniation of the cerebellar tonsils through the foramen magnum. Phase contrast flow imaging adds an additional diagnostic benefit to visualize the flow of cerebrospi
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Chiari Malformation is a collection of congenital anomalies where th…
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Most people with Chiari malformation don’t even know they have it…and when they finally get an MRI, they’re often told it’s “normal” or “not significant.” But that interpretation is often dangerously incomplete. I see it every week. Chiari malformation isn’t just about whether the cerebellar tonsils descend more than 5mm. That’s an outdated metric. It’s about what that descent is doing 👉 to your cerebrospinal fluid flow, brainstem, spinal cord, and autonomic nervous system. There are four main
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Most people with Chiari malformation don’t even know the…
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MOVABILITY on Instagram: "If your scan was “normal” but your symptoms flare the moment you stand up, you are not crazy. You were imaged unloaded. Position matters for imaging. Load matters for imaging. Supine CT or MRI can miss dynamic nerve or spinal cord compression that only appears under load. Supine vs standing imaging can look like two different patients. That’s why I’m obsessed with Canon’s multi position upright CT, imaging standing, seated, and supine. I see complex patients every week
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MOVABILITY on Instagram: "If your scan was “normal” but your symp…
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