Chronic neurogenic changes

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  • Madoak
    Participant
    Post count: 2
    #27003 |

    Dear Sir,
    I am a 53 year old woman from the UK who had a c5/6 fusion in 2013. I have slowly lost functional strength in my right hand and have confirmed rhomboid muscle palsy due to an ‘unknown’ dorsal scapula dysfunction. This makes it very difficult for me to hold up my head. I have quite severe upper back pain. The question is, I was told categorically that the loose screws in my neck (all) and the complete lack of fusion is nothing to do with my deteriorating condition. Would the lack of fusion etcetera be anything to do with this do you think? My G.P. has basically told me to get over it; however, I continue to deteriorate. I also have bouts of difficulty with swallowing (almost as if I’m having a stroke) and speaking also. I have chronic neurogenic changes on EMG but on repeat stimulation only (it does not show on single fibre). This is in the entire back area of my right back and shoulder and also in my hand. I look forward to any insight you can give me.
    Yours truly

    Dr. Corenman
    Moderator
    Post count: 5713

    There are many disorders that can cause your symptoms. One obviously would be the C5-6 pseudoarthrosis (“loose screws in my neck (all) and the complete lack of fusion”) as this level with a pseudo can cause spur formation that can recompress the C6 nerve and cause hand dysfunction. The loose screws can cause esophageal irritation and dysphagia (swallowing difficulties). See https://neckandback.com/conditions/symptoms-of-cervical-nerve-injuries/ to understand what a C6 nerve can cause.

    Also, there are syndromes that can cause muscle weakness like Parsonage Turner Syndrome (https://neckandback.com/conditions/parsonage-turner-syndrome-neck/) and some of the intrinsic nerve disorders but I would first focus on the pseudoarthrosis.

    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.
    If this forum has helped you, please let Dr. Corenman know!

    Madoak
    Participant
    Post count: 2

    Thank you so much for your response – it was very helpful and Inhave just had a CT scan. Hopefully now we can see the extent of the problem.

    Dr. Corenman
    Moderator
    Post count: 5713

    Please keep own contact to let the forum know follow-up.

    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.
    If this forum has helped you, please let Dr. Corenman know!

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