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  • chris_dee
    Participant
    Post count: 2

    Hi Dr. Corenman,

    I had an MRI done but still have to see a spine doctor. There is a lot of medical terms and I have been Googling them, trying to understand what they mean. I am certified nursing assistant since 2002. I had an episode after a heavy workload and so afraid to go to work. I was profusely sweating, dizzy and weak. I thought I was going to faint, I had to sit down. I have quite a few of these episodes ever since that day but not as bad. I would appreciate it if you can explain my MRI result. Thank you so much!

    C2-3 No disc herniation, central canal stenosis or foraminal stenosis.

    C3-4 Disc osteophyte complex contacting and minimally indenting the ventral margin of the cord to the left of midline. Mild central canal stenosis. No significant foraminal stenosis.

    C4-5 Diffuse posterior disc osteophyte complex contacting and mildly indenting the cord with mild central canal stenosis. Mild left foraminal stenosis.

    C5-6 Diffuse posterior disc osteophyte complex with left uncovertebral spurring. The complex contacts and mildly indents the cord with mild central canal stenosis. Severe left foraminal stenosis.

    C6-7 Shallow disc osteophyte complex. No disc herniation, central canal stenosis or foraminal stenosis.

    C7-T1 No disc herniation, central canal stenosis or foraminal stenosis.

    IMPRESSION: Multilevel disc osteophyte complexes with mild cord impingement. Small focus of hyperintense T2 signal within the cord at C3-4. probably representing myelomalacia. Mild central canal stenosis.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    You note: “I’m so afraid to go work. I had an episode after a heavy workload. I was profusely sweating, dizzy and weak….I have quite a few of these episodes ever since that day”.

    You then note pertinent MRI findings of:
    C3-4 Disc osteophyte complex contacting and minimally indenting the ventral margin of the cord to the left of midline. Mild central canal stenosis.
    C4-5 Diffuse posterior disc osteophyte complex contacting and mildly indenting the cord with mild central canal stenosis. Mild left foraminal stenosis.
    C5-6 Diffuse posterior disc osteophyte complex with left uncovertebral spurring. The complex contacts and mildly indents the cord with mild central canal stenosis. Severe left foraminal stenosis.
    IMPRESSION: Multilevel disc osteophyte complexes with mild cord impingement. Small focus of hyperintense T2 signal within the cord at C3-4. probably representing myelomalacia.

    This means your central canal which houses the spinal cord is too narrow causing cord compression and some injury. This is especially noted at C3-4. You need to be examined for signs of myelopathy and definitely need a spine surgeon’s consultation.

    See :https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/

    Dr. Corenman

    chris_dee
    Participant
    Post count: 2

    I had an appointment with the spine surgeon today and he basically said that my condition is a result of aging. No mention of myelopathy or even maybe have a CT scan. He said he will refer me to a pain specialist, do PT and give me botox injection. If it doesn’t work, then next step is neck fusion. Thank you again for taking the time to review my MRI.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    Bone spurs are the result of aging. Cord injury is not. Did his examination find any hyper-reflexia, clonus or Hoffman’s sign? Do you have any incoordination or imbalance?

    Dr. Corenman

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