بی حسی دست وپا (فوری لطفا )

با سلام و تشکر از زحماتی که می کشید
خانمم 38 ساله و یک ماهه دچار بی حسی و مور مور شدن دست و پا شده . آزمایش خون اولیه با همو گلوبین 9 بود که پس از مصرف داروهای کم خونی الان به 9.6 رسیده است. ولی این بی حسی همچنان هست . mri از سر و گردن گرفته شده

Cervical spine MRI :
Technique;
Multi planar MRI with different pulse sequences were done.
Findings:
There is an intramedullary expansile large lesion at C2-3 to C3-4 levels 26 x 10 mm which is high on T2 and low on T1 WI. Another faint bright focus at left posterior aspect of cord at C5-6 level is detected.
The cervical spine shows decreased degree of normal lordosis.
The vertebral bodies are normal in their number, shape, and interrelationships.
The atlantodental distance is normal .The articulating vertebral endplates present smooth margins. The intervertebral disk spaces are of normal height.
The intervertebral disks do not project past the posterior surface of the vertebral bodies in any imaged segment.
The bone marrow of the vertebral bodies appears normal.
The prevertebral and paravertebral soft tissue show no abnormalities.
Interpretation
- Demyelinating disease, NMO and inflammatory process are in DDX.
- Cervical MRI with contrast is recommended.
و از سر

Brain MRI

Technique



:
Multi planar MRI with different pulse sequences were done



.
Findings



:
There are a few T2 bright foci in periventricular white matter touching ependymal surfaces (3-4 ones) and a few juxtacortical tiny bright foci in supratentorial white matter



.
No similar focus in corpus callosum and infratentorial area is detected



.
Important note is made of an intramedullary abnormal focus just at C2-3 to C3-4 levels in cervical cord, so demyelinating disease (MS) and NMO, as well transverse myelitis are in DDX



.
Brain and cervical MRI with contrast are recommended



.
The interhemispheric fissure is centered on the midline



.
The cerebral ventricles are of normal size and symmetrical



.
No abnormalities are seen in the basal ganglia, internal capsule, or thalamus



.
The brain stem and cerebellum show no abnormal changes in signal characteristics



.
The cerebellopontine angle area appears normal on each side



.
The sella and pituitary are normal, and parasellar structures are unremarkable



.
Interpretation



:



-
Abnormal finding in cervical cord and brain as mentioned above (please see above note



)



-
Brain and cervical MRI with contrast are recommended



.
لطفا راهنمایی کنید mri  چی نشون میده
تشکر