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  • Erinkyle
    Participant
    Post count: 2

    Can you please help me with my MRI results. I’m pretty sure I will need some type of surgery. History: 37 F pretty severe neck and shoulder pain for about 10 years. Recent numbness and both hands/arms and am also feeling very clumsy. I’m running into things and my hand writing has changed.
    There were quite a bit of findings but the ones I’m most concerned about are:
    C4-C5: bilateral disc osteophytes complexes, right hemi-spinal cord causing moderate to severe spinal canal stenosis. Severe right, moderate left neural foraminal narrowing.
    C5-C6 bilateral left greater then right disc osteophyte complex with extruded disc material extending 8mm inferior to C5/C6 disc level. These combine to contact and deform the left hemi-spinal cord causing severe spinal canal stenosis. There is severe left and moderate right neural foraminal narrowing.

    Impression: disc osteophyte complexes most significant at C4/C5 to include extruded disc material resulting in significant spinal canal stenosis and neural foraminal narrowing.
    Also of note: straightening of cervical lordosis, diffuse disc desiccation with loss of height C4/C5, C5/C6, C6/C7, effacement of CSF anterior to spinal cord from C4-C6.
    Is all this as scary as it sounds? Has my spinal cord been comprised (deformed)?
    Any advise is greatly appreciated!

    Erinkyle
    Participant
    Post count: 2

    Little more on my symptoms:
    10 years of neck pain that radiates to middle of my shoulder blades and can either go all the way down my right or left arm. Pretty bad muscle spasms where I actually get what I refer to as “stuck”, my neck becomes tweaked and is stuck to usually left side for 2-3 days. Complete decrease in range of motion in my neck, I can’t even turn my neck to look to reverse out of the driveway, I have to rely heavily on mirrors. I’ve had pretty bad balance for quite some time now. I am not stand on one foot without falling over, and always feel a little dizzy.
    I have managed all this for years, it’s just my normal. But new symptoms have recently started Including clumsiness, I keep dropping glasses and my hand writing has become very sloppy. I keep running into things, even in my house where I know where everything is. Lots of numbness and weakness in my hands. Also, I don’t feel like myself, like my brain is functioning correctly as I am forgotting a lot of short term memory stuff. Up until this MRI, I was pretty sure I had early onset dementia or something just with everything going on.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Your symptoms sound like myeloradiculopathy, compression and dysfunction of nerve roots and the spinal cord itself. See https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/ and https://neckandback.com/conditions/radiculopathy-pinched-nerve-in-neck/.

    You do have significant cord compression (“disc osteophyte complexes most significant at C4/C5 to include extruded disc material resulting in significant spinal canal stenosis and neural foraminal narrowing”).

    You probably need an ACDF at (at least) C4-5.

    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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