Tagged: c1/c2 fusion., Palatal Myoclonus
schmuckerMemberJanuary 6, 2015 at 12:27 amPost count: 1
I’m a 25 yr old married male 1 yr ago i sustained whiplash, due to a rear end collision, Apr 1 month later i sustained blunt force to my upper neck, when a friend hit me across the upper spine with his for-arm. I was seated, in a slight extension position when it happened. Imediately went numb down both arms/midspine.(only lasted seconds) after being in tremendous pain for a wk. ended up getting mri/wflouroscopy of c-spine as well as ct. didnt show much(so they said) but couldnt extend due to severe muscle spasms. Fastforward 12months: tried injections, 9 months of PT, EMG,Bloodwork.
Symptons are gradually getting worse. severe midline tenderness,over c3/c4 twitching in legs(occasional) aggravated reflexes, cannot lft more the 5Pnds without severe neck pain, and dizziness,tingling/numbness(intermittent) both arms. sharp pain when hitting bumps on rd. general feeling of instability. in fact neck is tender, i dont allow a pillow to touch it hardly.
Today My PT. finally told me, he believes i have clinical instability, (but his doctor refuses to see me) as i match to a T a case study He’s done.
So My Question: am scheduled for a standard MRI wednesday. Is this going to be helpful in diagnosing instability? If not what recommendations would you have? I’m desperate, and cannot seem to find anyone, who takes an interest.
thanks NateDonald Corenman, MD, DCModeratorJanuary 11, 2015 at 1:21 amPost count: 8503
Your symptoms do sound like instability. An MRI is important but standard X-rays with flexion/extension components will give the most diagnostic benefit. Make sure you see an orthopaedic spine surgeon to understand what your pain generator is.
Dr. CorenmannateParticipantJuly 26, 2016 at 8:03 pmPost count: 1
I wanted to post this Update on my diagnosis, to possibly help others out. a surgeon at Duke university at last diagnosed me with major c1/c2 instability, in fact they claim my right alar ligament was probably entirely severed. Interestingly it took 6 surgeons, countless MRI’S multiple flexion/extension X-rays. and a DMX X-ray. non of these picked this up. A neuroradiologist Performed a flexion extension CT. scan. and bam there it was. A c1/c2 fusion was performed 11-06-15. It took 2 years to get this diagnosis, Prior to surgery i had become so bad even jerking my head i was going numb. Thanks againDonald Corenman, MD, DCModeratorJuly 28, 2016 at 9:49 pmPost count: 8503
Glad to finally see that you have a final solution. Please let us know how your progress.
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