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These results look similar to my grandson’s, with regard to the foci of abnormal signal. He also has slightly enlarged ventricles, which I believe is mentioned in the Driscoll Theory. The report has made some suggestions as to cause, it would be up to the Neurologist to narrow it down, looking at history and clinical signs.
These are the questions that I would additionally ask:-
1) Is there ANY degree of low-lying cerebellar tonsils (no matter how slight)?
2) is there ANY flattening of the pituitary gland (which should look like a cherry, not a pancake!)?
3) Is there ANY level of excess fluid interstitially in the brain?
4) Is there an excess of CSF fluid in the subarachnoid space above the brain?
5) Could there be mildly enlarged ventricals?
6) Could there be mild cistern engorgement with CSF?
7) Could the Corpus collosum be slightly flattened?
8) Whether your daughter has a retro-flex odontoid (the top of the peg-like bone bends backwards)?
9) Whether there’s a pannus alongside her odontoid ?
10) Could either of her Transverse SInuses be stenosed?