Male, 8 years old, with frequent headaches, ataxia and tendon contractures. Evaluate for Chiari malformation, syrinx, tethered cord. A very slight levoscoliosis of the spine is seen which may be due to positioning. The sagittal alignment of the spine is otherwise unremarkable.A normal complement of normally formed vertebral bodies is seen. No segmentation anomalies are detected. Marrow signal characteristics are within normal limits.The cerebellar tonsils terminate at or above the level of the foramen magnum. The CSF space at the level of the foramen magnum is widely patent and there is robust biphasic CSF flow through this region both anteriorly and posteriorly.The visualized spinal cord demonstrates normal intensity and morphology. The conus tip terminates at the upper L2 level which is within normal limits. No evidence of any intraspinal mass or fatty infiltration of the filum terminale is seen.The intervertebral discs are well preserved throughout. No significant spinal canal or neuroforaminal stenosis is seen.
Unremarkable evaluation with no evidence of Chiari malformation, spinal cord syrinx, tethered cord, or other specific findings to account for the patient's symptoms.