ErinkyleParticipantJanuary 9, 2020 at 4:25 amPost 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!ErinkyleParticipantJanuary 9, 2020 at 7:57 amPost 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, DCModeratorJanuary 9, 2020 at 8:19 pmPost count: 8465
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.
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