Both your excellent tutorial and other teacher excellent tutorials on neuroenteric cyst make me understand it better. These excellent lectures are complementary and benefit our learners. TH-cam is a nice place that there are so many excellent teachers.
What do I do if my Dr. is ignoring my results from MRI. I’ve had complaints of lumbar pain for last 6 years and have like 3 mris and many X-rays.. all finding L3-l4: “1.1 x 0.5 cm ovoid high T2 signal intensity lesion.” L5-s1: “Adjacent to the bilateral facet joints, there is high T2 signal intensity lesion (5 mm on the right and 8 mm on the left).” *this specific lesion was also documented 3 years later 2023” 2019 right hip X-ray: “1 cm ovoid sclerotic density with lucent center” (was seen on prior X-ray including frog-leg two years prior) Now there are many other issues but what are these freaking lesions? I know it’s a long shot but y’all sound like you know what you’re talking about.
I can't really personally help with your own findings because of limitations on where I can practice, but I think what you need to do is see a good spine surgeon. I don't think you need surgery necessarily, but they should be able to help you with the MRI findings.
@@LearnNeuroradiology oh I’m so glad you said that! Truly the only thing holding me back from doing exactly that is myself honestly. In 2013 I tore almost every ligament in my left knee and military Dr did surgery… ended up needing 6 more and now waiting for my bone grafts to heal and then doing my 7th in two months. I don’t want my lumbar spine as jacked up as my knee but at this point my radiology findings are almost at equal lengths now. Know of any good doctors in FL that won’t push for surgery first? :)
You're definitely right. Some of these cysts can be very tricky to see. Especially arachnoid cysts which are really only visible by mass effect. Usually neuroenteric cysts are a little easier to see. There is also a pathology that is relatively common which is not mentioned in this video, which is the arachnoid web. In this case, arachnoid scar or a web deflects the contour of the cord and can cause symptoms without a mass. This is in the differential for arachoid cysts. I'll try to make a video about them at some point.
At age 23 I had a very large ependymoma T10 to L5 (I am now 71). It was excised with subsequent scar tissue formation which eventually caused neuropathy in my legs and feet. Now I have great difficulty with balance, walking, basically everything we depend on from the waist down. I have never met another person who'd had a spinal ependymoma or a physician who'd seen a case other than mine. It has wreaked havoc in my life. Every health issue I have leads back to the outcome of that tumor.
I'm sorry that you had a challenging tumor. It is great that you had a long life and the techniques to remove these 50 years ago were not what they are now.
Both your excellent tutorial and other teacher excellent tutorials on neuroenteric cyst make me understand it better. These excellent lectures are complementary and benefit our learners. TH-cam is a nice place that there are so many excellent teachers.
Thank you for upload an excellent tutorial. Keep on learning from your excellent tutorials.
Beautiful
Thank you! Cheers!
What do I do if my Dr. is ignoring my results from MRI. I’ve had complaints of lumbar pain for last 6 years and have like 3 mris and many X-rays.. all finding
L3-l4: “1.1 x 0.5 cm ovoid high T2 signal intensity lesion.”
L5-s1: “Adjacent to the bilateral facet joints, there is high T2 signal intensity lesion (5 mm on the right
and 8 mm on the left).” *this specific lesion was also documented 3 years later 2023”
2019 right hip X-ray: “1 cm ovoid sclerotic density with
lucent center” (was seen on prior X-ray including frog-leg two years prior)
Now there are many other issues but what are these freaking lesions? I know it’s a long shot but y’all sound like you know what you’re talking about.
I can't really personally help with your own findings because of limitations on where I can practice, but I think what you need to do is see a good spine surgeon.
I don't think you need surgery necessarily, but they should be able to help you with the MRI findings.
@@LearnNeuroradiology oh I’m so glad you said that! Truly the only thing holding me back from doing exactly that is myself honestly. In 2013 I tore almost every ligament in my left knee and military Dr did surgery… ended up needing 6 more and now waiting for my bone grafts to heal and then doing my 7th in two months. I don’t want my lumbar spine as jacked up as my knee but at this point my radiology findings are almost at equal lengths now.
Know of any good doctors in FL that won’t push for surgery first? :)
Wow Case 1 is hard to see on solely T2 sag. Blends in with CSF. Spine tumors are challenging. Thanks for the overview Doc
You're definitely right. Some of these cysts can be very tricky to see. Especially arachnoid cysts which are really only visible by mass effect. Usually neuroenteric cysts are a little easier to see.
There is also a pathology that is relatively common which is not mentioned in this video, which is the arachnoid web. In this case, arachnoid scar or a web deflects the contour of the cord and can cause symptoms without a mass. This is in the differential for arachoid cysts. I'll try to make a video about them at some point.
@@LearnNeuroradiology Look forward to that. Learning a lot from your excellent tutorials.
@@LearnNeuroradiology looking forward to learning about arachnoid webs!!
At age 23 I had a very large ependymoma T10 to L5 (I am now 71). It was excised with subsequent scar tissue formation which eventually caused neuropathy in my legs and feet. Now I have great difficulty with balance, walking, basically everything we depend on from the waist down. I have never met another person who'd had a spinal ependymoma or a physician who'd seen a case other than mine. It has wreaked havoc in my life. Every health issue I have leads back to the outcome of that tumor.
I'm sorry that you had a challenging tumor. It is great that you had a long life and the techniques to remove these 50 years ago were not what they are now.
Does all cysts in MRI means cancer?
Actually no. Most cystic lesions are NOT cancer. Some tumors solldo have cysts associated with them.
Ciss sequence wud hav been useful
Yes, sometimes we bring the patients back for thin-slice T2 imaging such as CISS or FIESTA. It helps maybe 50% of the time.