Viewing 2 posts - 1 through 2 (of 2 total)
  • Author
  • leedabird
    Post count: 2

    Hello Dr. Corenman,

    I am so thankful to have found your website! It looks like a wealth of resources that I look forward to digging into soon. Looking for any insight into some symptoms and my MRI results. I’ll try to be as concise as possible.

    Traumatic Cervical Injury-6 years old (1990?)

    Cervical disc herniation w/corticosteroid injection in college followed by chiropractic care for years for pain management (2005?)

    In addition to chronic cervical pain & fatigue, the last year or so I have developed some slowly progressive symptoms, such as bilateral muscle weakness in my arms and legs, pulling sensations in my hands and feet (sometimes very painful), eye strain/blurry vision (ophthalmology work up negative), fullness in my ears, migraines, & dizziness. All symptoms are intermittent in severity & presence except the neck pain/pressure and ear fullness are constant.

    A month ago I developed severe shortness of breath at rest (no hypoxia) and slight tachycardia (120-130 bpm). Lasted 4 days. ER visit negative for any known cause. Outpatient cardiac testing negative. Still have underlying shortness of breath with exertion but not to the extreme of those 4 days. CT head only showed a right 6mm cerebellar tonsillar ectopia. Awaiting neurology follow up in the mean time. MRI Cervical/Thoracic Spine results:


    CLINICAL INFORMATION: 38 years-old Female, Motor neuron disease.


    Multiplanar, multisequence, MR imaging of the cervical and thoracic spine
    without and with contrast was acquired.

    CONTRAST: 7 mL Gadavist

    Cervical spine:
    Craniocervical alignment preserved. Straightening of the usual mid cervical
    lordosis. No abnormal spondylolisthesis. Vertebral body heights are
    preserved. Minimal marrow edema along the C7 superior endplate is likely
    degenerative in nature. A small area of marrow STIR hyperintensity at the
    left pedicle/facet junction also has intrinsic T1 hyperintensity, most
    likely a benign hemangioma. No significant paraspinal soft tissue
    abnormality. No abnormal epidural fluid collection. The cervical spinal
    cord is normal in caliber and signal intensity. Degenerative changes are
    detailed by level below.

    Segmental analysis:
    C2-C3: Unremarkable.

    C3-C4: Unremarkable.

    C4-C5: Mild left uncovertebral hypertrophy and small leftward disc
    osteophyte complex blending with uncovertebral hypertrophy resulting in
    mild left foraminal narrowing.

    C5-C6: Minimal uncovertebral hypertrophy, minimal disc height loss, and
    small disc osteophyte complex result in ventral cord contour flattening but
    no significant spinal canal narrowing.

    C6-C7: Minimal ligamentum flavum infolding and small disc osteophyte
    complex with mild spinal canal narrowing.

    C7-T1: Unremarkable.

    Other findings: There is 6 mm right cerebellar tonsillar ectopia without
    significant left cerebellar tonsillar ectopia, pointed configuration of the
    right cerebellar tonsil, or substantial foramen magnum crowding. This is
    most likely incidental.

    Thoracic spine:
    Mildly exaggerated upper thoracic kyphosis. Minimal anterolisthesis of T2
    on T3 Mild thoracic dextroconvex curvature with apex at T7-T8. Vertebral
    body heights are preserved. Small foci of marrow STIR hyperintensity within
    the T7 and T8 vertebral bodies have signal dropout on out of phase gradient
    in phase imaging, likely small hemangiomas with atypical signal features.
    Paraspinal soft tissues are without significant abnormality. No abnormal
    epidural fluid collection. The thoracic spinal cord is normal in caliber
    and signal intensity, accounting for mild intermittent artifact.

    There is mild thoracic facet arthropathy primarily at the upper levels on
    the right. There is mild leftward disc height loss at T6-T7 and T7-T8
    primarily due to curvature effects. There are small anterior projecting
    endplate osteophytes at upper and mid thoracic levels but there are no
    significant disc bulges, protrusions, or extrusions. The spinal canal is
    patent without significant stenosis. Foraminal narrowing is minimal on the
    right at T2-T3.

    Degenerative changes of the low lumbar spine are incompletely evaluated on
    all spine images obtained for localization purposes.

    1. No cervical or thoracic spinal cord lesions.
    2. Degenerative changes of the cervical spine as detailed by level in the
    body of this report. Spinal canal narrowing is mild at C6-C7 and foraminal
    narrowing is mild on the left at C4-C5.
    3. Mild thoracic spine facet arthropathy and mild anterior endplate
    osteophytes without disc bulge, protrusion, or extrusion. Foraminal
    narrowing is minimal on the right at T2-T3 and there is no significant
    spinal canal narrowing.
    4. Mild right cerebellar tonsillar ectopia, likely incidental.

    Thank you so much for your professional opinion!!


    Post count: 2

    I also have daily urinary frequency and intermittent (rare) sciatic like pain shooting down my leg if that’s helpful information.

Viewing 2 posts - 1 through 2 (of 2 total)
  • You must be logged in to reply to this topic.