39 years Female (DOB:4/20/1977)Reason: Follow up Chirai I; s/p decompression in 8-2011. Eval for CSF flow and any scar tissue build up History: pressure like headachesPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The patient is status post suboccipital craniectomy for Chiari decompression. CSF flow demonstrates biphasic flow at the level of the foramen magnum.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Status post Chiari decompression. There is no convincing evidence for CSF flow obstruction at the level of foramen magnum.