DRAGONMemberOctober 24, 2012 at 12:21 amPost count: 14
Dear Dr. Corenman
I have a MRI that shows increased signal at the level of my problem disk/s and also someway below where there is no issue. This shows on a fat suppressed image. The Neurosurgeon says that my disks are not a problem for me although the MRI report suggests early flattening of the cord and subtle signal change. I saw the neuro yesterday and despite saying that he considers me not to have any worrisome signs he does say that he often sees increased signal in those with spondylosis
My impression is that such signal means changes within the cord consequent of a injury/ongoing injury or other disease process.
I requested and had a head MRI last week which proved normal and so the chances of MS are reduced as an explanation for some of my symptoms but I think that in a minority of c ases this can manifest itself as lesions solely within the cervical spine
I do have increased reflexes s in my lower limbs, and the left faster than the right. The neuro did my deep tendon rewflexes yesterday but I was fully dressed for his examination. He reported no long tract signs
I’m at my wits end because I have noted over more than 12 monthgs a slight wweakening of the lower limbs, and I think the pelvis muscles/glutes. I havwe a normal lumnbar MRI and I want to find out why I have both the increased signal and why the weakening.
Haver you any advice you could suggest please ?Donald Corenman, MD, DCModeratorOctober 24, 2012 at 8:09 pmPost count: 8652
I am unclear as to what has an increased signal. Is it the spinal cord? Cord signal changes are worrisome as this may indicate some prior injury to the cord and potential future injury.
Long tract signs (signs of cord irritation) are hyperreflexia, Hoffman’s sign (see website for description), clonus, balance and incoordination signs (Rhomberg’s, adiadochokenesis, imbalance with quick direction changes, triangle test).
Read the radiologist’s report of the MRI findings. You might find some valuable information there. You might also get another consultation for more information.
Dr. CorenmanPLEASE 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.
- You must be logged in to reply to this topic.