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  • carolns
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    Post count: 88

    MRI CERVICAL SPINE
    HISTORY….ANTEOLISTHESIS
    MAGNETIC RESONANCE IMAGING
    PRODUCTURE(S) c-spine ne with 1 pul seq-vc

    Anterolisthesis of c2 c3
    Findings…Sagittal t1 flair were obtained through the cervical spine. Axial gradient echo sequences were obtained rfom c2 and c3

    Comparrisons 8/9/2012 CT
    Their is no Chiari 1 malformation. No cord signal abormality is seen.There is reversal of of the normal cervical lordosis. There is a multilevel degeneration disc disease with severe degenerative disc disease from C4 -. C7
    There is multilevel bilateral facet oa

    c2-c3…There is a 5mm anterolisthesis of c2 on c3 unchanged causing mild to moderate spinal canal stenosis. There is associated didc bulge containing the cervical cord but no cord signal abormamality. There is to .
    mild to moderate right neural foramen narrowing secondary to osteophyte.
    The Posterior longitudinal ligament appears intact.

    Can’t make out c3 and c4 from printer

    c4 c5There is posterior osteophyte contacting the cord. Mild to moderate spinal canal stenosis There is is moderate left neural from narrowing and mild to moderate right neual foramen narrowing.

    c5 c6There is left paracentral/lateral recess disc osteophyte complex contracting the cord.No cord signial
    abnormality. T here is moderate spinal canal stenosis. There is moderate left neural foremen narrowing, and mild right neural foramen narrowing.

    c6 c7 Small disc osteophyte complex. N osignificent spinal canal stenosis.There is mild left neural foremaen narrowing.

    impression
    There is a 5m anterolistheses of c2=c3 associated with mild to moderate spinal canal stenosis. Fusion of of the left c3-c4 facet which may be the cause of for the hypomobile of the upper cervical spine at c2-c3 causing anterolisthesis. F lexion/extension xrays may be helpful to assess for stability.
    There is moderate spinal canal stenosis at c5 c6. There is mild to moderate spinal canal stenosis at c4-c5 Multilevel degenerative disease.

    I typed this with one finger on note and put on word by word. Hope it make sense and Dr Coleman can tell me what it means please. Carol

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    MRI findings cannot be discussed in a vaccum. Your concerns, symptoms, impairment, social situation and activities all have to be included to understand what findings are important. Please see the section under “How to describe symptoms” to fully explain what you are undergoing.

    Dr. Corenman

    carolns
    Participant
    Post count: 88

    I have severe pain under my right skull and pins and needle go to the top of my head. and also my left ear and jaw get pins and needles not as bad as my right side.I have had this for 14 mts. My pain comes and go. Driving my car makes it worse and so does sitting. My neck is very weak.
    Had therapy,tens,hot,cold,accupture helped the most.Saw DR. in Halifax and he thinks I need a operation.
    Going to have flexion/extension xrays in a few months to see if there is stability at c2 and c3 there. If my c2 and c3 is stable do you think surgery is necessary if I can live with the pain?
    I am 72 so don’t do alot. Like to walk though.thank you so much
    hope this is what you meant carol

    carolns
    Participant
    Post count: 88

    I have severe pain under my right skull and pins and needle go to the top of my head. and also my left ear and jaw get pins and needles not as bad as my right side.I have had this for 14 mts. My pain comes and go. Driving my car makes it worse and so does sitting. My neck is very weak.
    Had therapy,tens,hot,cold,accupture helped the most.Saw DR. in Halifax and he thinks I need a operation.
    Going to have flexion/extension xrays in a few months to see if there is stability at c2 and c3 there. If my c2 and c3 is stable do you think surgery is necessary if I can live with the pain?
    I am 72 so don’t do alot. Like to walk though.thank you so much
    hope this is what you meant carol

    Please please excuse me for not posting right….find it very hard to follow directions here…..sorry carol

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Your base of skull pain most likely is from the degenerative spondylolisthesis at C2-3. This 5mm slip can only occur from severely degenerative facets. The facets here can cause substantial irritation of the C2 and C3 nerve (greater and lesser occipital nerves). These nerves radiate into the back of the head over to the eye and around the ear.

    If the C2-3 level is stable (no motion with flexion/extension views) and you do not put your neck at risk (skiing, mountain biking, horseback riding, etc..), then you might not need surgery. However, if you do participate in some potential risky behavior or there is motion of this level, you would probably need surgery to prevent a potential catastrophic injury.

    Assuming you do not engage in risky behaviors, facet blocks could diagnose your disorder (see the website for understanding of this procedure). You might then be a candidate for rhizotomies (again-website).

    Dr. Corenman

    carolns
    Participant
    Post count: 88

    Just got word to go to Halifax August 7/13 for a flexion/extension xray and then the neuro wants to see me. This was fast.
    If there is movement this puts me at risk for spinal cord injury so I will have to have surgery. I will ask him what type of surgery and what else? recovery period etc. What about my celebrex that I can’t live without…..read they take you of it……pain .Thank you for helping all of us….wish I was there at your hospital. thanks Carol

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