Your Questions

ABC...
serpil karaaslan
Serpil Karaaslan  ::  What Should I Do?
23 December 2016 14:07:12

Hello doctor! The corners of the vertebrae L2 L3 L4 corpuses are tapered. L3_4 disc shows paracentral_foraminal bulding, pressuring the dural sac and narrows the right lateral recess. L4_5 disc shows partial annular tear and broad-based protrusion, which pressures the dural sac; and there is a stenosis (narrowing) in the both lateral recesses and a decreasing the spinal canal's (canalis spinalis) diameter. There is indentation of the left L5 nerve root. The decrease in L4_5 and L5_S1 disk signals are secondary to degeneration. My physician said that my hernia required surgery but he did not prefer that option, and recommended me physical therapy. What benefit can physical therapy provide me? I have weakness in my legs. Should I have physical therapy? I have no serious disorders and I live my normal daily life. Your idea is very important to me. Thank you.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
23 December 2016 14:25:39

The condition shown in the mentioned MRI report does not cause weakness in your legs. However, if you have weakness in your ankles, it may be caused by that condition. Your walking distance may decrease due to the narrowness but the report does not suggest that you need to have a surgery. If your strength is found good during the examination of your feet, it is more sensible for you to have a physical therapy.
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Bahadır Rüzgar
Bahadır Rüzgar  ::  Cerebellum Prolapse
23 December 2016 13:32:13

Professor, I'm begging you for help. They said to my sister that the problem was a cerebral prolapse. What we need to do? Please help us Professor. Can she get well if she undergoes a surgery? What path we need to follow?

MRI:

Straightening of the cervical lordosis (lordotic straightening) is observed. Cervical vertebrae are observed to be at the level of corpus and the signal features seem normal.


The cord and bilateral neural foramens are at C3-4 level. Neighboring vertebral plateaus of the disc are normal.
There is a mild cord indentation due to disc bulge at C4-5 level. Bilateral neural foramens are ordinary. Neighboring vertebral plateaus of the disc are normal.
There is a cord indentation due to left paramedian disk protrusion at C5-6 level. Bilateral neural neural foramensa are ordinary. Neighboring vertebral plateaus of the disc are normal.
There is a cord indentation due to right paramedian disk protrusion at C6-7 level. Bilateral neural neural foramensa are ordinary. Neighboring vertebral plateaus of the disc are normal.

** Cerebellar tonsillar shows 6mm herniation from the foramen magnum. The appearance is significant in terms of chiari 1.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
23 December 2016 14:23:30

I hope she'll get well soon. Your patient's tonsillar prolapse is 6mm. Surgery may not be needed. Her symptoms and findings, i.e. the results of her medical examination are important. If necessary, certain tests such as SEP-MEP can be performed. The surgery is decided based on physical examination rather than MRI scan. Every prolapse does not require surgery. Even if it requires, do not worry because its surgical procedure is not difficult to perform. I hope she'll get well soon.
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ayten
Ayten  ::  Mri, Vertebra , Cervical
22 December 2016 20:22:50

I am a 62-year-old female patient. I went to the doctor due to the excessive pain in my right arm and shoulder. The doctor requested MRI. My MRI result is as follows:
Sagittal T1-weighted SE sections, and Axial T2-weighted TSE sections were taken.
There is a condition of straightening of the cervical lordosis (lordotic straightening).
Craniovertebral junction is normal.
Vertebral corpus heights, posterior elements, signal intensities are normal.
There is a focal fatty hematoma in T2 vertebral corpus.
There is left paramedian protrusion at C3-4 intervertebral level.
There is left paramedian protrusion at C5-6 intervertebral level.
Posterocentral-left paramedian protrusion at C6-7 level attractded the attention.
Other intervertebral discs are observed to be morphologically normal and in a normal signaling structure.
Bilateral neural foramens are normal.
Spinal canal (canalis spinalis) width, cervical spinal cord, and paraspinal soft tissues are normal.
I'd be glad if you can give me information. May it be easy.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
23 December 2016 14:21:07

Get well soon. According to your report, you have cervical herniated discs at 3 distances; however, your nerve roots and spinal canal are still wide enough. Your physician will offer you the physical therapy or medical treatment options.
The content of the page is for information purposes only. Please definitely contact your physician for diagnosis and treatment.

Başak
Başak  ::  Neck Pain, Cervical Mri
21 December 2016 19:25:55

Hello! I'm a 32-year-old female patient. I got examined for the symptoms of stiffness and pain on the left side of my neck. My neck pain is sometimes accompanied by a pain in the back and shoulders, numbness in the hands, and lack of energy in the arm. The doctor requested a cervical MRI scan.Nowadays I'm rest at ease. I have been preparing for kpss for two years. When I'm tired, I wake up in the morning with numbness and tingling especially in my fingertips. Since August, I've not been studying; I have been going to bed and get up in time. My symptoms decreased but sometimes the pain gets worse and novadays it reaches my shoulders. The orthopedist recommended me to see a neurosurgeon. My MRI result is as follows:

EXAMINATION TECHNIQUE: SAGITTAL T1-weighted SE sections and
Axial T2-weighted FSE sections.

There is a condition of straightening of the cervical lordosis (lordotic straightening)
A slight corrugation is observed in the cervical axis.
Craniocervical junction formations are normal.
A quite mild central posterior protrusion is observed at c3-4 disc, which partially narrows the anterior subarachnoid distance.
A minimal central posterior protrusion is observed at c4-5 disc, which partially narrows the anterior subarachnoid distance.
A minimal central posterior protrusion is observed at c5-6 disc.
Spinal canal calibrations show a local stenosis, which is secondary to the pathologies described above.
At other levels, the intervertebral disc heights and signals are normal, and the posterior contours are regular.
Vertebral corpus height and signal intensities are normal.
No herniation finding, pressure on the spinal cord or root pressure was observed.

I'd be glad if you interpret. Thanks in advance.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
21 December 2016 23:19:52

Get well soon. You are at the initial stage of straightening of the cervical lordosis (lordotic straightening) and cervical herniated disc. Surgery is not needed but I advise you to receive physical therapy for the prevention of its progress and for learning the exercise movements.
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Tuğce keskiner
Tuğce Keskiner  ::  Neck Pain
21 December 2016 00:53:28

Thank you in advance Professor. I have an intense neck pain that considerably affect my daily life.
MRI scan has been performed, and here is the the result...
There is a condition of straightening of the cervical lordosis (lordotic straightening).
Signal of all cervical intervertebral discs decresed as secondary to degeneration.
The are C3-4 C4-5 and C5-6 intervertebral discs have diffuse annular bulging, and anterior subarachnoid space got narrowed.
Pathological finding was found in paravertebral soft tissues.

The only treatment that has been administered to me was the use of pain killer.
I'd llike to take your opinion.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
21 December 2016 23:20:52

Your medicine will be enough. However, if your pain persists, you can receive physical therapy. Best regards
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Metin ÜNAL
Metin Ünal  ::  Mri Report
20 December 2016 13:08:35

Hello, Professor, thank you for your reply in advance.I went to an orthopedis, with the symptoms of pain in my shoulders and arms as well as numbness in my fingers. A cervical MRI scan was performed. In the report, the disc's signals decreased at C5-C6 levels written with bold character. The cord and roots are free at all levels.
Thanks again

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
20 December 2016 21:34:11

Dear Metin, your report is normal. Get well soon
The content of the page is for information purposes only. Please definitely contact your physician for diagnosis and treatment.

İHSAN SOYDAŞ
İhsan Soydaş  ::  Spinal Cord Stenosis
18 December 2016 22:35:14

Hello Professor. My mother has such a disorder in her waist. We had an MRI scan. We were asked to have certain scans involving the hip and lumbar region. We did what was asked of us but my mother was nonresponsive to the treatment. She feels paroxysmal episodes of severe pain. She says the pain is felt around the waist, hip region, calf, and feet. These pains are al at the RIGHT hand side. As I said before, they said us that it was a spinal cord stenosis but also said that this dsease actually must not cause this much svere pain. However, my mother says she feels insufferable pains. They say that surgery is not a definite solution but is irrevocable option. What should we do? In fact, there is a lot to ask but it is hard to express things in this way.Thank you in advance.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
18 December 2016 23:46:58

Dear Bekir, the physician who examined your mother is the only one who can decide on surgery, based on the results of the tests and treatment. My door is always open if you want to talk. Best regards.
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Ahmet Şahin
Ahmet Şahin  ::  Lumbar Pain
18 December 2016 16:11:33

Professor,
I contacted you on December 16.
Is there an abormality in the sacral region?
I created an album of the MRI photographs. I ploaded all of them because I don't not know which ones are significant.
I'd b glad if you can have a look at them. Have a nice working day.

https://www.facebook.com/profile.php?id=100014712150314&sk=photos&collection_token=100014712150314%3A2305272732%3A69&set=a.100370117130060.1073741826.100014712150314&type=3

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
18 December 2016 23:45:15

Dear Ahmet, I've already looked at them and replied your message. You have no lumbar spondylolisthesis. Don't worry.
The content of the page is for information purposes only. Please definitely contact your physician for diagnosis and treatment.

Bahar Demirat
Bahar Demirat  ::  Evaluation Of Cervical Mri
18 December 2016 15:40:18

Hello Professor. First I’d like to thank you for your early reply and for the information that you provided. EMG has been performed and the doctor interpreted its result to normal. What I did not mentioned was the fact that ANA and SSA positivity were found in me. The rheumatology started a drug treatment was due to this. However, the numbness occurred before the beginning of the drug treatment as well. Since the rheumatologist did not say that I experienced the numbness due to the results, I didn’t mention about this.. Does this result cause such numbness? Thanks again, for your early reply. I will inform my doctor of the drugs that you mentioned about. I’m a little bit obsessed and always anxious about the reason of this condition. That’s all, Professor. I have nothing to write more… Have a nice working day. Best regards.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
18 December 2016 23:44:16

Unfortuantely, after this step I can come to the conclusion by only examining you... I think you must first think about my recommendation. Best regards
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Bahar Demirat
Bahar Demirat  ::  Evaluation Of Cervical Mri
18 December 2016 13:47:47

First I’d like to thank you Professor, for your rely. Let me reply your questions. First of all, B12 was reviewed, and the result was found to be 520. Regarding the eyes, yes, I cannot see well at close distances. I have astigmatism but I don’t constantly wear eyeglass. Fortunately, I have not experienced faint or something like that. I just use thyroid drugs because I have Hashimoto's disease. My blood pressure so rarely goes up, i.e. there is no problem. However, I have migraine Professor, and it is migraine with aura. I think I got mentally depressed when thinking about the reason of the numbness in my body. Thanks in advance for your support and comments. By the way, I’m 43 years old. Have a good day Professor.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
18 December 2016 14:30:26

Dear Bahar, sometimes neuropathic pains are caused by just a neck deformity, but sometimes we cannot find the cause. I think, low doses of the drug called lyrica or neurontin can be used for the treatmetn of your numbness. Of course, with the advice of the physician who examined you. Or finally EMG can be performed with intent to ascertain if you have a nerve compression. Warm regards.
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ferite
Ferite  ::  Lumbar Herniated Disc And Pain In The Lower Back And Legs
17 December 2016 14:46:31

Hello Professor;
This week I received the results of my MRI scan. For a certain period, I have been suffering from a pain similar to the feeling of a broken low-back, and a constant pain in my legs.
Physical therapy and medicines were prescribed. Although pain relief was achieved, I still suffer from pains in my low-back, legs, and heels.
What should I do? There is a condition that requires surgery. I'd be glad if you can help me.
Thanks.

My MRI results:


lomber MRI

Technique
T2 weighted axial, T1+T2 weighted sagittal


Signal and height of L5-S1 disc reduced.
Central disc protrusion is observed at level L5-S1, there is a pressure on the dural sac, a stenosis in the lateral recesses, and indentation of the nerve roots in spinal canal.
Central bugging is observed at level L1-2,, and indentation of the dural sac.


The array of the vertabra corpus heights is normal.
Sagittal diameter of the spinal canal is within the normal limits.
Conus medullaris ends at a normal level.
Intradural cauda equina fibers are free.
Pathological signal change was not found in paravertebral soft tissues.

Thank you.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
18 December 2016 14:31:55

Get well soon. You have a two-sided little hernia at level L5-S1, i.e. the coccyx (the very bottom portion of the spine). I think, you should consult a physiotherapist. He/she will administer a physical therapy or drug treatment if he/she founds necessary. Warm regards.
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Eda Sahra
Eda Sahra  ::  Lumbar Herniated Disc
16 December 2016 17:12:03

Hello Professor. Approximately 5 years ago, I was on bed rest for about two months due to low back pain. I that period the problem was defined to be a lumbar herniated disc. I tried to be careful; I swam to a certain extent, and lost weight. For a long time, I have been feeling good as long as I act carefully. When I stand on my feet for a long time, I feel a severe pain from the hips to the wrist. About 1 month ago, I began to suffer it again. I have a difficulty in walking for about 3 weeks. I had an MRI scan again. According to its result, it is the straightening of the lumbar lordosis (lordotic straightening). There is degenerative signal loss at the L5-S1 disc. The posterocentral narrow-based herniation is centrally indenting to the thecal sac on the diffuse bulging ground at this level disc. It is written like this, so what does it mean, and what do I need to do? Is this an important condition? I kindly request your help.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
16 December 2016 20:20:24

Dear Eda, it reads that you have a big hernia at your joint between the coccyx and the midline, but I need to know the result of your physical examination for being able to know whether or not you need to have a surgery. If you have no loss of strength, physical therapy can be tried.
The content of the page is for information purposes only. Please definitely contact your physician for diagnosis and treatment.

Ahmet Şahin
Ahmet Şahin  ::  Lumbar Pain
16 December 2016 16:57:24

Have a nice day Professorr
My symptom is that when I sit for a period of 10 minutes, I begin to feel a pain between my coccyx and hip; and that the pain goes down from my hip when I lie down. I had an MRI scan. I will show it to the doctor but I could not find an appointment with him. I will share the link of the report and the virtual disk version of the MR CD. I'd be glad if you can help me.
I am 24 years old. I have suffered from low back pain for 3 years and recently it got intensified. I am a computer science student, so I constantly do desk job.
A mild degenerative loss of signal intensity attracted attention at the L5-S1 intervertebral disc.
The lumbar lordosis slightly got straightened (lordotic straightening).
A broad-based posterocantral disc protrusion indenting the anterior epidural fat distance was observed at the L5-S1 disc. No significant compression was found.
Conus medullaris and cauda equina were evaluated to be normal.
No pathological findings were found in paravertebral soft tissues.

I am afraid of lumbar spondylolisthesis. You can have a look at the MRI through the software Deamon Tools.
Even if you cannot look at the MRI, I'd be glad if you can at least say whether or not the condition is related to lumbar spondylolisthesis. Thanks.
https://drive.google.com/file/d/0B9xy97-aEqkqUTRYNW9xaHl5Um8/view?usp=sharing

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
16 December 2016 20:17:45

Get well soon, Dear Ahmet. You have no lumbar spondylolisthesis but a herniated disc. The hernia does not seem to require surgery. Unfortunately, I could not download your MRI file but the report and findings show that it would be enough for you to receive physicial therapy. There is no lumbar spondylolisthesis, so don't worry about it.
Best regards
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Sevda doğuş
Sevda Doğuş  ::  Neck Pain And Cervical Herniated Disc
16 December 2016 16:34:23

The cervical got straightened. The C2-C3 intervertebral disc is in the normal configuration. The anterior subarachnoid space is open. No cord pressure was observed. The C3-c4 intervertebral disc is in the normal configuration. The anterior subarachnoid space is open. No cord pressure was observed. The both neural foramen are open. The C4-c5 intervertebral disc is in the normal configuration. The anterior subarachnoid space is open. No cord pressure was observed. The both neural foramen are open. The C5-C6intervertebral disc is in the normal configuration. The anterior subarachnoid space is open. No cord pressure was observed. The both neural foramen are open. The C6- c7 intervertebral disc is in the normal configuration. The anterior subarachnoid space is open. No cord pressure was observed. The both neural foramen are open. No significant pathological signal changes were found in the cord and cord's components within the examination area. Paravertebral soft tissues seem normal.
Result: Except for straightening of the cervical axis; cervical MRI findings were in the normal limits.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
16 December 2016 20:12:18

Dear Sevda, you wrote nothing. Just a normal MRI and straightening of the cervical lordosis are observed. Unfortunately, I cannot help much than this only with an MRI report.
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Murat metin
Murat Metin  ::  Dear Professor, My Son Is 7 Years Old. We Had An Mri Due To Headache. I Sent You Its Result. Id Be Glad If You Have A Look At It.
16 December 2016 15:19:47

• Saggital T1-weighted images with a slice thickness of 5 mm were obtained with FSE technique ,
• Axial T2-weighted images with a slice thickness of 5 mm were obtained with FSE technique ,
• Coronal T2-weighted images with a slice thickness of 5 mm were obtained with FSE technique.
• There is a formation compatible with the arachnoid cyst, measured to be 1 cm (front-back), located in the left paramedian portion of the retroserebellar region. I'd be glad if you enlighten me in this regard.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
16 December 2016 20:21:11

Don't worry Dear Murat. That cyst is a harmless congenital formation. Best regards.
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Nuray basmacı
Nuray Basmacı  ::  Spinal Cord
16 December 2016 14:19:38

Have a nice day Professor. My son is 13 years old. He had headache and neck pain. The doctors requested MRI scan. The result showed fluid in the spinal cord. Afterwards, a comprehensive MRI scan was requested. The report of that scan reads “Focal prominence in the central spinal canal at level c6... Diameter of the central spinal canal at level c6 was measured to be approximately 1.5 mm, and it was found significant” and many other sentences.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
16 December 2016 20:10:28

Get well soon. Further investigation is required for fluid accumulation in the spinal cord. Whether there is a cerebellar prolapse (Chiari syndrome) or pressure on the cervical disc or vertebrae should be investigated.
But don't worry. In such cases, the cause is usually a previously experienced trauma, which does not cause a progressive problem, and does not require treatment.
Best regards
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Bahar Demirat
Bahar Demirat  ::  Evaluation Of Cervical Mri Result
16 December 2016 11:29:53

Hello Professor. My symptoms are numbness, burning, tingling and tickling sensations in my body, arms and legs. I have also a severe pain in my left arm, shoulder, and neck. I went to a neurologist for these symptoms and I had cervical and cerebral MRI scans. The result of the cerebral MRI was normal. The result of the cervical MRI was as follows.
CERVICAL SPINAL MRI EXAMINATION Technique: Obtained with multiplanar, multi-sequence sections. The cervical lordosis got straightened. Signal intensities of the cervical intervertebral disc at T2-weighted series decreased as secondary to the degeneration. The heights of the cervical vertebra corpus and the distribution of the corticomedullary signal intensity is within normal limits. The posterior contours of the cervical intervertebral discs are shapely. The spinal canal and bilateral neural foramen widths are normal. No pressure was observed on the neural elements. "The hickness and signal intensity of the cervical spinal cord are normal. Atlantoaxial joint involvement and craniocervical junction is normal. "No pathological signal change was detected in the paraservical soft tissues in the sections. COMMENT: "Straightening of the cervical lordosis (lordotic straightening), decreased signal intensity secondary to the degeneration of intervertebral discs. I have symptoms such as lack of energy, weakness, blurred vision... What should I do... I kindly request your review and comment.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
16 December 2016 20:07:59

Dear Bahar, first I'd like to thank you for writing your symptoms. Having a cervical MRI scan was a reasonable decision. Only straightening of the cervical lordosis is observed. My next suggestion for you is to have your B12 vitamin levels checked for the symptoms of lack of energy. You neeed to give details about the blurred vision. Are you visually impaired, and do you wear eyeglass? Do you have a blood pressure disorder? Have you experienced any faint or seizures? Do you have diarrhea or nausea problems?
Get well soon.
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Fatma Koç
Fatma Koç  ::  Cranial Mri Examination
15 December 2016 23:37:52

The report reads “There are common T2 hyperintense signals in the white matters of the both cerebral hemispheres, which tend to merge from place to place. There are chronic microischemic changes. The perivascular cavities became slightly prominent. There are signs of severe degenerative disc disease in the upper cervical region, and signs of spondylosis.” I request you to interpret this. Thank you.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
16 December 2016 20:03:28

Dear Fatma, you need to have a cervical MRI scan but please write your symptoms and age when sending the result. Best regards.
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özgür keser
Özgür Keser  ::  Do I Need To Be Afraid Of This Dear Bulent?
15 December 2016 23:20:40

Technique: T1 and T2 sagittal, T2 axial images.
Findings:
The cervical lordosis got straightened.
The vertebra corpus heights are normal, and the distributions of signal intensity are regular.
Intervertebral disc heights are normal.
There is loss of intensity in T2, as secondary to the degeneration of intervertebral disc within the imaging field.
At C3-4 level, protruding diffuse disc is observed, which narrows the anterior subarachnoid space. Left neural inferior foraminal narrowing.
At level C4-5, a diffuse bulging disc that obliterates the anterior subarachnoid space and presses the spinal cord, as well as a central disc protrusion were observed. Neural foramens are open.
At level C5-6, a diffuse bulging disc that obliterates the anterior subarachnoid space and touches the spinal cord, as well as a central left paracentral disc protrusion were observed. Left neural foraminal narrowing.
At the C6-7 level, diffuse disc bleeding was observed, narrowing the anterior subarachnoid space. Left neural foraminal narrowing.
Left paracentral disc protrusions were observed, which obliterate the anterior subarachnoid space at levels C7-T1, T1-T2, T2-3 and T3-4, and press the spinal
cord at levels C7-T1 and T1-2.
Posterior contours of the other discs are considered to be normal, and the neural foraminal widths are
observed to be normal.
Canalis spinalis width, intensity distribution of the cervical spinal cord signal, and paravertebral soft tissue planes are natural.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
16 December 2016 20:02:24

Dear Ozgur, you have a significant calcification in 2 distances on the left. However, it is hard to say whether or not you must be afraid of it because you have not written your age, signs and symptoms.
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HAYRETTİN ÇALIŞKAN
Hayrettin Çalişkan  ::  Neck Pain
15 December 2016 21:14:36

CERVICAL MRI Examination Technique: Sagittal SE T1 and FSE T2 weighted and Axial GRE weighted imaging that shows a cervical lordotic straightening. Craniocervical junction formations are normal. There are degenerative osteophytic formations in the vertebra corpus anterior corners. There is a decreased intensity secondary to the degeneration in T2A sequences of the cervical intervertebral discs. C5-6, C6-7 intervertebral joint spaces got narrowed, and type 2 degenerative changes are observed in end plates. There is a discal protrusion at levels C2-3, C3-4, C4-5, which does not produce pressure. There are discal protrusions at levels C5-6 and C6-7, which create minimal pressure on the spinal cord from anterior. At levels C3-4, C4-5, C5-6, and C6-7 bilateral neural foramines got minimally narrowed due to degenerative changes. At other levels, the intervertebral disc heights and signals are normal, and the posterior contours are regular. Vertebra corpus heights are normal. Spinal cord was observed to have normal thickness and signal characteristics. No intra or extra thecal collection or mass lesion was found. No pathology was found in the paravertebral regions. RESULT: The cervical lordosis got straightened. There are degenerative osteophytic formations in the vertebra corpus anterior corners. There is a decreased intensity secondary to the degeneration in T2A sequences of the cervical intervertebral discs. C5-6, C6-7 intervertebral joint spaces got narrowed, and type 2 degenerative changes are observed in end plates. There is a discal protrusion at levels C2-3, C3-4, C4-5, which does not produce pressure. There are discal protrusions at levels C5-6 and C6-7, which create minimal pressure on the spinal cord from anterior. At C3-4, C4-5, C5-6, C6-7 levels bilateral neural foramines were minimally narrowed due to degenerative changes. Professor, is this a cervical lordotic straightening or a cervical herniated disc. This makes me very uncomfortable. I'd be glad if you help me.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
15 December 2016 22:44:59

Dear Hayrettin, this is neck arthritis, i.e. spondylosis. It may cause problems such as urinary incontinence, sexual dysfunction, dizziness (loss of balance) head frog-balance loss, drop attacks, loss of strength in the hands and legs. Your neurological examination will show the current stage of the problem.
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serpil dalga
Serpil Dalga  ::  Hydrocephalus
15 December 2016 18:14:03

Doctor, I have a Syrian neighbor, who is a twenty-years-old hydrocephalic patient. Doctors at Inegol State Hospital said he needs to be operated but the operation can be done at the High Specialty Hospital or the University Hospital. We went to both Uludag University Hospital and High Specialty Hospital but the doctors there say there is no need for surgery, and send us back without making any explanation. Could you please enlighten us in this regard.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
15 December 2016 22:42:57

Dear Serpil, first of all, your patient's symptoms and scan images are necessary. They are essential for making a decision on whether or not a surgical operation is necessary. The surgery can be done in such a way as to involve a shunt placement or endoscopic ventriculostomy. Such an operation can be done in anywhere. These are procedures that do not last longer than 1 hour.
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esra bozkurt
Esra Bozkurt  ::  Cervical Herniated Disc Mri
15 December 2016 14:55:20

The is straightening of physiological cervical lordosis (lordotic straightening) as well as a mild angulation.
Decreases in the distances between the discs, especially at level C6 c7, were observed.
Disc intensities reduced due to the degeneration in T2 images.
There are small osteophyte formations in the corners of the vertebra corpus .
The anterior subarachnoid space is minimal obliterated due to posterior bulging at level C3 c4. The nerve root at the right foraminal level is irritated.
At C4 c5, the right central-lateral disc protrusion partially obliterates the anterior subarachnoid distance, from the right anterolateral. The nerve root at the exit of the thecal sac.
At level C5 c6, the anterior subarachnoid distance is obliterated due to the diffuse bulging. Neural phenomena got narrowed, more obviously on the right. At the both foraminal levels, there is a pressure on the nerve roots, more obviously on the right. The spinal canal got a little ir narrowed.
Central-left central-lateral subligamantosis extruded herniation at level C6 c7 obliterates the anterior subarachnoid distance from anterior and left anterolateral. Neural foramens got narrowed. There is pressure on the nerve roots, more obvious on the left side of the exit of the thecal sac. There is pressure on the nerve roots at the both foraminal levels. The spinal canal got narrowed at the left lateral. There is pressure on the spinal cord, from the left snterolateral.
The anterior subarachnoid space at the C7-th 1 level is minimally obliterated due to posterior bulging. Noral foramens are open.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
15 December 2016 22:40:54

Dear Esra, you did not give any clinical information. You didn't even mention about your symptoms.
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ESRA KARAKUS
Esra Karakus  ::  Neck Pain
15 December 2016 09:31:05

Have a nice working day Professor. The result of my Cervical and cerebral MRI scan that I had in May 2014 is presented below. I received physical therapy last year. My neck pain and back pain got worse again. Currently, I have pain felt in my chest, back, and arms. I am waiting for your help. What should I do? Thank you, I wish you good work.
CERVICAL MR EXAMINATION
T1 and T2 weighted sagittal examinations show that Cervical lordosis got straightened.
There is a loss of degenerative signal intensity at levels C4-5, C5-6.
Central bulging was observed at C4-5.
A central disc protrusion was observed at C5-6.
Other vertebral corpus heights and signals as well as disk heights and signals are natural. The calibration of the cervical medulla spinalis is normal, and its signal is homogenous. The effect of extrinsic pressure was observed on the dural sac,in the myelographic sequence.
In axial examinations; the dural sac, anterior and posterior nerve roots, and pidural and paravertebral regions were observed to be normal at cervical disc levels.

SEREBRAL MRI EXAMINATION
In FLAIR, T1 and T2 weighted axial and sagittal examinations;
The 4rh ventricle is in normal anatomic configuration and width in the midline. Cerebellar vermis and hemispheres, bulbus, pons, and mesencephalon signal characteristics are natural. Basal cisternals are open. There is an appearance compatible with an arachnoid cyst, about 1.5 cm in diameter, located in the midline of the retrocerebellar cistern.
In supratentorial examination, the 3rd ventricle in the midline and the lateral ventricle are symmetric and have a normal width. The bilateral periventricular white matter regions, thalamus, basal ganglia, internal and external capsule characteristics, and corpus callosum are normal.
The widths of the silvian fissure and cortical sulcus are normal.
Sella and parasellar regions are normal.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
15 December 2016 22:39:39

Dear Esra, the cyst in the brain is congenital and insignificant. Your pains cannot be eliminated with only physical therapy. You should also keep doing the exercises recommended by physicians for a long term, for strengthening your cervical muscles. If your pains persist, you should definitely apply to a neurosurgery clinic.
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Hatice
Hatice  ::  L4-5
14 December 2016 12:19:44

As a result of lomber MRI examination, a disc bulging slightly pressuring the dural sac was observed at level L4-5. Please reply urgently Professor.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
15 December 2016 22:36:13

Dear Hatice, as you can understand, there is a mild pressure. İn other words, it does not require immediate intervention. Try physical therapy.
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Kenan Ozturk
Kenan Ozturk  ::  Mri Result
14 December 2016 00:50:02

Hello Professor.
A minimal rotoscholyoze with an openness facing to the left was observed in the cervical axis.
The cervical lordosis got straightened. In T2-weighted examinations, signal intensities of the cervical discs show loss of signal, as secondary to degeneration. Left paracentral bulging at level C5-6 partially narrows the mainly left frontal subarachnoid distance and left neural foramen entry. It neighbors the spinal cord, and it created a minimal indentation with uncovertebral joint hypertrophy to the left neural root.

Assoc. Prof. Dr. M. Bulent Onal
Assoc. Prof. Dr. M. Bulent Onal
15 December 2016 22:35:19

Dear Kenan, no clinical information was given. Only your MRI report was copied. I can only say that you have roto-scoliosis, i.e. cervical curvature.
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