[harshjani]

#23026

harshjani wrote:

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?

CTA was unremarkable of any diffracts in normal condition.

[Donald Corenman, MD, DC]

#23066

If you have bowhunters syndrome then you would need to CT angiogram the neck in the position of symptoms. If you have no symptoms with “normal” relaxed neck positions, then there is only minimal probability of finding a vascular compression that only would occur with adopting the position that compresses the vertebral artery. This Bowhunters condition is rare however so repeat scan should only be performed if there is reliable reproduction of symptoms every time the position is adopted.

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]

#23067

As you said the reliable reproduction of the neck position was when i look up but after neck braces the symptoms goes and put me in state where i felt my left hand and leg light weight all the time no neck movement.
what will be the minimal treatment for this illness?

what do you say about prolotherapy for the bowhunter syndrome?

[Donald Corenman, MD, DC]

#23069

Prolotherapy should not be used near the neck in my opinion. Prolotherapy uses a damaging liquid to cause scar. Injected anywhere near the neck, this fluid can inadvertently be injected into the spinal canal or vertebral artery with disastrous consequences.

Again, I cannot tell if you do or do not have Bowhunter’s syndrome. As it is a rare condition, I would assume not. I have looked for it in about 20 patients and found it only once even though all these patients had symptoms that matched the syndrome.

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]

#23078

what are those other 19 patient have been diagnosed with by having those symtomps(just two three example)?, my intention is to know under what category of patient i belongs to.

[Donald Corenman, MD, DC]

#23084

I could not find the source of the dizziness and/or nausea due to neck position in those patients. There was probably some neurological disorder of the vestibular system that was undiagnosable in those patients. The ENT doctors generally treated symptoms in those patients and did not find the source of the symptoms.

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.

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