Laura1963ParticipantDecember 13, 2019 at 7:53 pmPost count: 35
Hi Dr Corenman ..
I would greatly appreciate it if you are able to interpetae this report in simplified terms regarding mostly about the osteochondral bar as to where it’s situated ..my question is it pressing on the CSF is it between CSF flow and spinal cord ..Is it releasing any CSF in my body leaking ..can it cause that in the future if not now ..is it serious what I have ..my prominent central canal has never ever changed since first d/x in 2005 ..so I believe it’s not a true syrinx …but was wondering if the osteochdral bar is causing any issues pain stiffness ..leakage if CSF .As I feel and taste and gag on something that seems to be flowing throughout my entire body ..which is from osteochondral bar from if it’s pressing on my CSF ..or it’s another cause that it could be ..be greatly appreciated it if you could give me your valued opinion …my MRI report is below ..thank you again
A very tiny syrinx/ verses a prominent central canal is noted again extended from level C2 -C3 disc space caudally to approximately the C5 C6 disc space .There is no associated cord expansion or cord edema .the appearance is relatively similiar compared to previous ..
The cervical spinal cord otherwise demonstrates normal signal intensity and morphology
The cervical spinal cord is preserved
The cranial cervical junction is intact .
At C5-C6 there is a broad based posterior osteochdral bar with a more focal central component . CSF remains interposed between the osteochondral bar and the spinal cord .
Stable prominent central canal/ verses a tiny syrinx . No associate cord expansion or edema .
Posterior osteochdral bar C5-C6
Sincerely LauraDonald Corenman, MD, DCModeratorJanuary 30, 2020 at 3:35 pmPost count: 8455
A chondroosseous bar is a development of degenerative disc disease. The wall of the disc buckles and causes the insertion of the disc fibers to slightly pull off. This causes the bone endplate to react by growing more bone (called an enthesopathy). This new bone forms as a bone spur and projects into the canal. It is quite common and many individuals go through their entire life not knowing that they have this finding.
This bar will impinge against the sack (the dura) that contains the spinal fluid (CSF) and will “push the sack inwards” This by itself is not any problem. If this spur impinges against the spinal cord or causes significant narrowing of the canal, then it can be a problem.
In your case “CSF remains interposed between the osteochondral bar and the spinal cord” meaning there is still room in the canal for the cord and CSF-a good thing.
Dr. CorenmanLaura1963ParticipantJanuary 30, 2020 at 4:12 pmPost count: 35
Thank you Dr Corenman ..I greatly appreciate your time and knowledge ..and explaining everything to me ..You are the best !!Laura1963ParticipantMarch 4, 2020 at 3:55 pmPost count: 35
I was wondering Dr Corenman if you could read this recent MRI ..my question is if this is actually compressing my spinal cord …if it could be causing the issues of nerve pain in my mouth or throat …or if this protrusion is effecting the messages going and coming from the Brain to Spinal cord ..
The MRI report
At C 2-3 and C3-4 there is central disc bulging
At C 4-5 ,there is mild central disc bulging
At C5-6 there is disc bulging with a small broad central disc protrusion MILDY indenting / flattening the anterior OF the spinal cord.
At C6-7 there is very mild disc bulging
At C7-T1 there is mild disc bulging
At T1-2 T2-3 and T3-4 there is central disc bulging and mild osteophyte mildly indenting the thecal sac
There is prominence of the central canal of the spinal cord / tiny stable syrinx at the C5-C6 levels measuring up to 2mm in caliber .The cervical spinal cord is otherwise unremarkable ..The cerebellar tonsils are normally located ..
Mildly degenerative changes as describe
At C5-6 there is a small broad central disc protrusion mildly indenting / finding the anterior spinal cord
Prominence of the central canal of the spinal cord /tiny syrinx at the C5-6 levels as described which is if uncertain significance but possibly related to the disc protrusion..Long term MRI follow up advised to ensure stability or resolution ..
This report is an actual second opinion based on last MRI report and recent image done Dec 2019 ..The tiny syrinx has been stable exact same size as it was first d/x in 2005 …no change ever as it states in other Reports verses a prominent central canal verses a tiny syrinx ..in 2005 I never had any disclosure degeneration as it is now …so last comment I feel is invalid when mentioned probability related to disc protrusion ..
But was wondering if the significance of the protrusion is causing messages going and coming from the Brain to Spinal cord ..As in previous messages that these symptoms only started after taking a medication that should of not been prescribed to me …
Thank you for your time and knowledge …
Sincerely LauraLaura1963ParticipantOctober 1, 2020 at 11:56 amPost count: 35
Hi Dr Corenman …
Here is a recent MRI report are you able to interpret this to me please and much thank you..
Clinical Indication…headaches…follow up syrinx
Compare to May 6 2019
No abnormal focus of diffusion restriction
No Blooming low signal intensity focus on the gradient echo sequence to suggest hemosiderin deposition
No hydrocephalus ..the the ventricular system , convexity sulci , and basel cisterns are intact
aside from a solitary deep periventricular high signal intensity focus right frontal lobe , series B image 20 which is stable compared with previous , no high signal intensity foci within white matter…
Major arterial end venous flow voids are intact
craniocervical junction is intact
ON T1-T2 …within the subcutaneous tissue , left parietal region , there is a subcutaneous lesion measuring 11 mm … This was present on previous ..This should be clinically apparent and could represent a sebaceous cyst and correlation required
cause for headaches not seen ..Essentially normal MRI of Brain with no significant change compared to prior
MRI Cervical Spine
compared to Dec 11 2019
Cranial cervical junction in tact
At C5-6 there is a generalized posterior osteochondral bar with a more focal central component ..CSF remains interposed between the osteochondral bar and the spinal cord ..Moderate narrowing right foramina and mild narrowing left neural foramina
The cervical spinal cord is preserved
Prominence of the central canal/thin syrinx is noted to extend from approximately level of the C3-C4 disc space crudely to approximately the level of the C6-C7 disc space ..No cord expansion of cord edema
stable prominent central canal/tiny syrinx
posterior osteochondral bar C5-C6
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