First up, we have a lovely (axial T2-weighted) cervical spine MRI image showing my cervical syrinx. The donut looking thing in the middle is my spinal cord. The hole in the middle is the syrinx. The syrinx is a gap filled with cerebral-spinal fluid (CSF) which has been forced into my spinal cord by some sinister and yet unidentified force. These first couple of images are axial slices. That means they're 2-d slices made in the plane parallel to the floor if we were standing up. To simplify, it's the same cross section you'd see if you chopped someone's head clean off at the neck.
Next on our lovely slide show we have another axial slice, this time lower in the thoracic spine. Again you can see a white dot in the center of my spinal cord. This is my long-skinny thoracic (middle back) syrinx which runs about from T4 through T12.
Now on to the sagittal images. These slices are taken in the sagittal plane, which is what you'd see if you sliced someone clean in half from head to toe. This is a (T2) MRI of my cspine again. This time you can see the dark spinal cord coming down from the brain (to the right of the vertebrae and discs). You'll notice the white bubble in the center of it around C4-C6. That's the same syrinx that looks like a donut in the first picture. This talk of donuts is making me hungry.
Next we have a sagittal (T2) mri of my thoracic spine. Look for the thin white line in the dark spinal cord. When I first heard I had another syrinx from T4-T12, I was upset; that sounds really long. I felt a little bit better when I saw that it's fairly thin. It does get a little bit wider as it settles around T12, but it's hard to find in the MRI images.
This is a sagittal image (T2) from my thoracic and lumbar spine (lower back). Of note are the white line in the spinal cord at the top, and the seen-better-days L5-S1 disc at the bottom. It's turning black and it should be white; it's degenerative and bulging. Many people with SM experience multiple DDD (degenerative disc disease) and disc herniations. My guess is that it is from muscle spacticity. My paraspinal muscles and neck muscles just don't relax. They are way to tight.
Finally, here is a link to a movie which shows a sequence of axial cervical spine (neck) images. It moves from my upper back towards my head, one image per second.
t2-ax-cspine.avi
(Right-click on the link, choose "Save As", and save it to your Desktop. Then, open it from there.)
Enjoy. This stuff is putting me to sleep and giving me a headache. Good night. Zzzzzzz....
9 comments:
I have a central disc bulge of the C3/4 with normal canal and normal neural foramina. Within the cervical cord there is a 5 mm, long focus of increased T2 signal at the inferior C6 vertebral body level with corresponding decreased T 1 signal. They are saying that it can be a small syrinx. There was no cord expansion, which I don't know if that is good or bad. I am 28 yrs old and I do not know what to do. My medical doctor said I sould schedule an appointment with a Orthepedic, so that is what I will do.
you should see a neurosurgeron
very often the syrinx occurs secondary to a traumatic event, sports etc. If the sympotms are not severe the syrinx will need to be followed using mri to be sure it does not enlarge.
Get plugged in with a good Neurosurgeon
below is a link to my mri after a motorbike accedent. there is 2x T/spine bulges. the other link shows what i think is a syrinx
http://i607.photobucket.com/albums/tt159/nosleep_2009/lastscandiscbulge.jpg
syrinx mri below
http://i607.photobucket.com/albums/tt159/nosleep_2009/lastscansyrinxtxt.jpg
did your syrinx look like this at any time
Hello I have syrinx from T6-T10 and 5 bulging discs with DDD as well, but around here everyone doesn't seem to have a whole lot of experience with them. It kind of makes me crazy.
Hi tiffiany how did you get your bulging disc??
How did you get 5 bulging disc tiffany??
How did you get your 5 bulging disc tiffany??
Hi tiffiany how did you 5 bulging disc?? Hope you feel better. Try Dr Barth Green in miami. He know what he is doing
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