Knowledge Base

Ever wonder what is happening inside of your body? In many cases, your symptoms may provide a clue as to what is happening on a deeper level within your body.
When we use Diffusion Tensor Imaging (DTI) to visualize your brain with tract connections, or MR-Neurography to visualize your nerves, we often see patterns on the symptoms that you present with and the information inside your body.
Below is a collection of common symptoms and our findings using DTI or MR-Neurography:
Diffusion Tensor Imaging (DTI):What happens when there is an injury to the brain?
We can use DTI to detect TBI, making it the best marker for brain injury. DTI visualizes tracts within the brain and can detect subtle injuries that interfere with the normal function of the operating circuits in the brain.
The brain is complex and divided into several lobes:
In short, the frontal lobes control thinking, planning, organizing, problem solving, emotion, personality, speech, and movement; the parietal lobes interpret sensory information, handwriting, and body position; the occipital lobes process images from your eyes and link that information with images stored in memory; and the temporal lobes manage memory and hearing.
Overview of general symptoms linked to brain structures:
General Cognitive Losses: Problems with multi-step planning, navigation, and general mental fog may be associated with the frontal lobe, corpus callosum, and superior longitudinal fasciculus.
Memory Function Deterioration: Memory function deterioration may be associated with the frontal and temporal lobes, where a critical circuit for memory formation is the fornix pathway and the stria terminalis of the hippocampus. For example, an injury in the fornix can impair new memory formation, and an injury in the hippocampal cingulum may impair attention.
Emotional Behavioral Dysfunction: Emotional behavioral dysfunction, such as uncontrolled anger, depression, or anxiety, may be associated with the frontal lobes, anterior supracallosal cingulum, or uncinate fasiculus.
Speech Problems: Injury to long inter-connecting paths in the brain, like the posterior midbody of the corpus callosum, or the arcuate fasciculus, is critical to speech formation and normal conversation.
Visual Disturbances:Sensitivity to light (photophobia), double vision (diplopia) and visual disturbances have been associated with the occipital and parietal lobes and medial lemniscus.
Central Vertigo: Vertigo or other balance problems, or problems with eye movements, has been associated with the cerebellum, temporal and occipital lobes. For example, an injury in the middle cerebellar peduncle can cause vertigo and balance problems
Magnetic Resonance (MR)-Neurography: MR-neurography is used to image nerves and can provide important information detailing the location of where a nerve is irritated or injured.
MR-Neurography is a patented process where high-field MRI units can image normally ‘invisible’ nerve tissue using patented scan pulse sequences. What does that mean? That means we can detect and image nerve structures in the body which allow us for an accurate diagnosis of a range of nerve and spine afflictions and ultimately target the optimal treatment plan for you.
For example, a compressed or pinched nerve may cause pain. Below are common symptoms and findings using MR-Neurography:
Headaches? While there can be many causes for headaches, we frequently see an entrapment of the occipital nerve at the occipito-nuchal line (where the neck muscles attach to the back of the head) using MR-Neurography.
Arm pain? Numbness? The nerves that supply the skin and muscles of the shoulder, arm, and hand emerge from the spine and from the brachial plexus. There may be an injury in the brachial plexus, for example, if the nerves are stretched, compressed, ripped, or torn away from the spinal cord.
Shoulder pain? Neck pain? Numb fingers?The nerves by your collarbone and first rib (thoracic outlet) may be compressed and can cause shoulder and neck pain and numbness in your fingers. Thoracic Outlet Syndrome is a collection of different nerve problems or entrapments that can have different symptom presentations.
Pain in the butt? Leg pain? Numbness down your leg?Sciatica can occur when a herniated disc, spinal bone spur, or narrowing of the spine (spinal stenosis) compresses part of the sciatic nerve. However, piriformis syndrome may present more with butt pain and have little back pain and the pain is worse when sitting. Piriformis syndrome occurs when the piriformis muscle, located in the buttock region, irritates the nearby sciatic nerve and causes pain, numbness and tingling along the back of the leg into the foot.
Our goal is to use MR-Neurography to image nerves and obtain accurate diagnoses for your treatment.
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