[harshjani]

#23015

How to determine or is there any diagnostic method where we can measure blood pressure in vertebral artery due to atalnto axial subluxation ?

does the high blood pressure in vertebral artery effects the limbs?(felling light weight or less controlled from joints-hands from shoulder and legs from waist)

[Donald Corenman, MD, DC]

#23016

The pressure in the vertebral arteries will be the same as the pressure in your arm that is measured with a blood pressure cuff. High blood pressure in your vertebral arteries should not be a problem. Leg or arm symptoms (“light weight or less controlled from joints”), could be from cord compression (myelopathy) or metabolic problems.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

[harshjani]

#23019

doctor says you have you c1 nerve effected(due to Atalanto axial subluxation) after the MRI of spine in flection and extension.

and because of that never you are felling this kind of problems.

is it like never is putting any tensile stress on cord or creates metabolic problems?

[Donald Corenman, MD, DC]

#23020

First, for all intent and purposes, the C1 nerve does not cause pain or numbness as it is a rudimentary nerve without any sensory connections. The first nerve in the neck that causes pain is the C2 nerve or greater occipital nerve. The C2 nerve does exit the spine through the C1-2 level.

Normally, the MRI is not performed in flexion/extension but X-rays are performed with this technique. Do you have these two (MRI and X-rays) confused?

There is a condition called Bowhunters syndrome where the vertebral artery is “pinched” in certain head/neck positions. This condition is very rare but you can view it in a video I have produced on this website or youtube.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

[harshjani]

#23024

correction yes as per doctor the c2 (confused with c1-2 vertebra)nerve.the c2 nerve is erected.does this nerve cause theses symptoms?does it cause metabolic problems as you mentioned?

they performed the MRI and CT both with flection and extension.both just says (left literal atalanto axial subluxation).

may be they have done the nerve study in MRI i believe?

[harshjani]

#23025

The symptoms starts like when i see up i loose control of both hands and legs (felt like i might fall) and immediately if i look down i feel ok.(is it due to complete cut of blood to brain or changes in blood flow)

doctor put me on roller after 10 days that symptoms goes but felt hands and legs light weight in left side(permanently).

CTA done in normal condition(NO flexion or extension or left or with side movement).

do you think they should perform the CTA in those position as well?

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