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What Does This MRI Report Indicate?

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Posted on Mon, 18 Jul 2016
Question: Hello,
My daughter was a pedestrian and was hit by a SUV. The accident happened in January of 2012. The MRI's were completed April 25, 2015. The first MRI states prominence in the size of the cerebellar folio. The second MRI states loss of cervical lordosis. When I ask about the meaning of these MRI's I am dismissed.
Immediately after the accident she couldn't see, nor move. She states she could not open her eyes, although she could hear voices. She hit the hood of the van and thenlanded six to eight feet in front of the grill of the SUV. She put her right arm out to cushion her head. Since the accident she has had difficulty with balance, falling periodically and leg tremors that can last for hours and at times full body myoclonus that may last a few minutes. Could any information in these MRI's correlate to her balance problems. She also experiences pain in her neck and shoulder. Memory is very poor and she has had to stop her post secondary studies.
Thank you
XXXXXXX XXXX
doctor
Answered by Dr. Saumya Mittal (46 minutes later)
Brief Answer:
Explained, with suggetsions

Detailed Answer:
Hi
I am Dr Mittal.
I have read your message.
I will try to help you.

Prominence in cerebellar fovia means that there is a damage to the fovia. This is a part of the brain , cerebellum in particular that is involved with balance. It maintains our balance and posture as we stand and during standing.

Loss of cervical lordosis is the loss of normal curvature of the spine. Most people think of spine like straight rod. Not so. Its a delicately balanced curved structure. This is normal lordosis. When the muscles are too stiff, or due to inherent damage to the spine itself, the lordosis is lost. This leads to the straightening of the spine. Therefore nerves that come out of the spinal cord at that level are compressed, causing pain, weakness, tingling and numbness.

While the above MRI findings can explain the rest of the symptoms, I cannot explain memory loss based on this (yes cerebellum is known to have some effect on memory, but I dont think that thats the case here). A part of it may be depression, due to such significant trauma and loss. Also, myoclonus can be treated. Are there any medications for this in the current prescription? If not, meet your neurologist for both.

Best of luck,
Dr Mittal
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

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What Does This MRI Report Indicate?

Brief Answer: Explained, with suggetsions Detailed Answer: Hi I am Dr Mittal. I have read your message. I will try to help you. Prominence in cerebellar fovia means that there is a damage to the fovia. This is a part of the brain , cerebellum in particular that is involved with balance. It maintains our balance and posture as we stand and during standing. Loss of cervical lordosis is the loss of normal curvature of the spine. Most people think of spine like straight rod. Not so. Its a delicately balanced curved structure. This is normal lordosis. When the muscles are too stiff, or due to inherent damage to the spine itself, the lordosis is lost. This leads to the straightening of the spine. Therefore nerves that come out of the spinal cord at that level are compressed, causing pain, weakness, tingling and numbness. While the above MRI findings can explain the rest of the symptoms, I cannot explain memory loss based on this (yes cerebellum is known to have some effect on memory, but I dont think that thats the case here). A part of it may be depression, due to such significant trauma and loss. Also, myoclonus can be treated. Are there any medications for this in the current prescription? If not, meet your neurologist for both. Best of luck, Dr Mittal