Question please than you!

///Question please than you!
Question please than you!
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  • Estabanss
    Participant
    Post count: 2

    Hi Dr. Corenman,

    I had this MRI a few weeks ago, seeing a rheumatologist tomorrow for autoimmune disease. Just suddenly wow! Can you please explain if you can I would appreciate tis. I am feeling numbness on my left side from neck to my toes. I feel Tingling in left hand. Trouble walking and getting dizzy. I appreciate your information. This is a great website

    Thank you. Steve A.

    MRI SPINE CERVICAL W/WO CONTRAST – Details May 21 2018
    Result
    Impression

    There is multilevel degenerative spondylosis with disc
    space narrowing and osteophyte formation. These findings are most
    pronounced at the level of C4-5, where there is a posterior disc
    osteophyte complex formation with partial effacement of the thecal sac.
    There is severe foraminal stenosis on the left and moderate narrowing
    seen on the right. The remaining levels showed less advanced disease.

    C4-5: There is broad-based posterior disc bulge. There is facet
    hypertrophy. There is partial effacement of thecal sac with mild
    flattening of the spinal cord in this region. There is moderate narrowing
    of the right foramen and advanced narrowing seen of the left foramen

    Donald Corenman, MD, DC
    Moderator
    Post count: 6403

    Your complaints of “I am feeling numbness on my left side from neck to my toes. I feel Tingling in left hand. Trouble walking and getting dizzy” could be stemming from any number of disorders which include rheumatological disorders as well as spinal stenosis which is only noted as “mild flattening of the spinal cord”. There is no note of spinal cord compression or signal change of the cord.

    “C4-5: There is broad-based posterior disc bulge. There is facet hypertrophy. There is partial effacement of thecal sac with mild flattening of the spinal cord in this region. There is moderate narrowing of the right foramen and advanced narrowing seen of the left foramen”

    Please keep us informed of your diagnostic progress.

    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.
    If this forum has helped you, please let Dr. Corenman know!

    Rajat
    Participant
    Post count: 1

    Hello Dr. Corenman,

    Greetings!!!

    I would like to consult with you regarding my father who just underwent a D4-D7 laminectomy and removal of extra Dural mass(Prostatic secondary) on 11th June 2018.
    Since this surgery, he is unable to walk, move his legs. Also, he is not feeling any sense for stool. For urine, he is on catheter as of now. He can sometime, feel the touch but not beyond hips towards legs. I have noticed, whenever he is sleeping, he is legs move unconsciously for 2-3 seconds and then again settle down for sometime. When I do tickling on his feet, his legs resist the tickling but this is not his control of action, this is unconscious action. He cannot feel my touch on legs.

    Our Doctor has confirmed that he removed the tumor which caused this problem. I am not sure, when do my father will start walking and feel stool excretion signals.

    I have attached couple of reports with this query for your reference to understand the case in more detail. Please guide me with the next step of recovery that I should do to make his legs move.

    Attachment Links:-
    https://drive.google.com/open?id=1LXIoSLaGEf2xfOEpzGNt9-ZO_lnItsLP
    https://drive.google.com/open?id=1LNaiScg6EMVCTjebvGjRjo2OGGCNLoqE
    https://drive.google.com/open?id=1L_hqZ8Fbnh8rC-A4gXQEQhuL7DlMd3vu

    Looking forward for your consultation.

    Your Sincerely,
    Rajat Gautam

    Donald Corenman, MD, DC
    Moderator
    Post count: 6403

    Your father had a metastatic prostate tumor involving the spinal cord at the upper thoracic level. This caused what I assume to be compression of the spinal cord and cord injury. The sequella is paralysis including bowel and bladder loss of function. Since the injury is at T4-7 (AKA D4-7), this is all upper motor neuron loss. If he has sensation below the umbilicus, this means he has an incomplete injury which is a better prognosis. There still is a chance to have some recovery but this will take time and he will have to undergo an extensive rehab program. You can Google the ASIA spinal cord injury scale and Google some papers about spinal cord injury recovery.

    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.
    If this forum has helped you, please let Dr. Corenman know!

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