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  • Wendyh1
    Participant
    Post count: 4

    I have disc herniation flattening the left hemicord at c5 c6. And left paracentral annular fissure. C6 c7 there is disc osteophyte complex and bilateral uncinate hypertrophy indenting on ventral the Al sac. Neural foramens are patent. I am currently on treatment for a tick borne illness that was not detected for 3 years and spinal fluid has one ogliclonal band. I have muscle twitching, changes in circulation and blood pressure and also shortness of breath. Less sensitivity to heat and cold. Left arm muscle feels tight and weakness all over. What should I be exploring next. Are any of the mri results of concern. Thank you in advance.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    What are your physical examination findings, especially balance, reflexes, clonus, motor strength and Hoffman’s tests? Can you paste your MRI report here?

    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.
    Wendyh1
    Participant
    Post count: 4

    (EN) G)
    MRI-CERVICAL SPINE NON CONTRAST
    HISTORY: M79.602 Left arm pain R20.2 Upper and Lower Extremity Pins and
    Needles M62.81 Muscle weakness
    TECHNIQUE: Sagittal T1, T2 and STIR images were supplemented by axial gradient
    echo images through the disc spaces. Study was performed on a 3 Tesla ultra
    high field wide bore magnet.
    Comparison: MRI cervical spine dated March 22, 2010.
    FINDINGS:
    There is straightening of cervical lordosis. Cervical vertebral body heights are
    maintained. Bone marrow signal is within normal limits. There is mild disc space
    narrowing at C6-C7 level.
    The spinal cord has a normal signal. Specifically, there is no intramedullary
    mass, syrinx or demyelinating lesion.
    Cerebellar tonsils are in normal location. Prevertebral soft tissues are
    unremarkable.
    C2-C3: There is no disc bulge, herniation, thecal sac compression or foraminal
    narrowing.
    C3-C4: There is small central disc herniation without significant spinal canal
    or foraminal stenosis.
    C4-C5: There is small central disc herniation without significant spinal canal
    or foraminal stenosis.
    C5-C6: There is left paracentral disc herniation indenting upon the ventral
    thecal sac and flattening the left hemicord. There is mild spinal canal
    stenosis. There is left paracentral annular fissure. Neural foramens are patent.
    C6-C7: There is disc osteophyte complex and bilateral uncinate hypertrophy
    indenting upon the ventral thecal sac. There is mild spinal canal stenosis.
    Neural foramens are patent.
    C7-T1: There is no disc bulge, herniation, thecal sac compression or foraminal
    narrowing.
    Overall degenerative spondylosis of cervical spine is mildly progressed compared
    to prior MRI dated March 22, 2010.
    Paraspinal soft tissues: Not evaluated on this MR examination of the cervical
    spine.
    Thyroid gland; Not evaluated on this MR examination of the cervical spine.
    IMPRESSION:
    Straightening of cervical lordosis.
    C5-C6: There is left paracentral disc herniation indenting upon the ventral
    thecal sac and flattening the left hemicord. There is mild spinal canal
    stenosis. There is left paracentral annular fissure. Neural foramens are patent.
    C6-C7: There is disc osteophyte complex and bilateral uncinate hypertrophy
    indenting upon the ventral thecal sac. There is mild spinal canal stenosis.
    Neural foramens are patent.
    No demyelinating plaque is identified.

    Wendyh1
    Participant
    Post count: 4

    And to answer your question regarding balance reflexes and strength it’s reported as good. Though I know it’s not my normal and my daily life is affected. My muscles shake and I am weak. I am 49 and was very active and healthy before the start of the borrelia miyamotoi infection that was just found. It’s hard to tell what symptom is from what. Then tHIS TEST was ordered but not sure what I should be doing if anything regarding the findings. Can any of what’s reported be from infection or more likely from past injury or other.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Your cord has some what appears to be some mild compression “The spinal cord has a normal signal. Specifically, there is no intramedullary mass, syrinx or demyelinating lesion…C5-C6: There is left paracentral disc herniation indenting upon the ventral thecal sac and flattening the left hemicord. There is mild spinal canal stenosis”.

    This does not appear to be problematic, especially since you have no myelopathic symptoms (“balance reflexes and strength it’s reported as good”).

    “The most common clinical manifestations of B. miyamotoi infection are fever, fatigue, headache, chills, myalgia, arthralgia, and nausea”. This type of Lyme disease sounds more like your problem.

    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.
    Wendyh1
    Participant
    Post count: 4

    Thank you Dr. Corenman for your thoughtful, timely reply. It is well appreciated. I forgot to mention nerve conduct testing that said left deltoid and bicep have increased polyphasic potentials. Left tricep shows the same plus reduced recruitment. Evidence suggestive of cervical motor radiculopathy. Is that basically like saying a pinched nerve and ties in with the mri? My upperleft arm always feels like someone is grabbing it. Again thank you.

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