Symptom question

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  • thebird
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    Post count: 8

    Hi Dr Corenman

    Further update if you wouldn’t mind reviewing. Symptoms are still burning in both legs and adhoc imbalance feeling. Seems to be based on neck movement up and down, experienced sitting or walking.

    SSEP passed with no signs of dysfunction of cord with neurologist.

    Neurosurgeon ordered a new MRI of cervical spine with contrast (New from the results I provided originally) and main findings below:

    Report: the alignment is preserved. There is generalised disc desiccation. There is mild loss of disc height with endplate reactive changes, mainly at c5/6 and c6/7. The visualised posterior fossa structures are unremarkable. The cervico-medullary junction is normal.

    At c3/4, there is a minimal osteochondral bar. There is minimal right foraminal narrowing.

    At c4/5, there is a mild osteochondral bad. There is mild indentation to the thecal sac.

    At c5/6, there is a moderate osteochondral bar towards the left. There is mild flattening of the cord on the left, although CSF is still present posteriorly and there is no appreciable cord oedema. There is moderate left foraminal narrowing. There is minimal right foraminal narrowing.

    At c6/7, there is a moderate osteochondral bar. There is minimal flattening of the cord although CAF is still present posteriorly and there is no appreciable cord oedema. There is mild to moderate left foraminal narrowing. There is minimal right foraminal narrowing.

    Impression:
    – multilevel spondylosis with flattening of the cord at c5/6 and c6/7 , although CSF is present posteriorly and no appreciable cord oedema.

    – moderate left foraminal narrowing at c5/6 with possible compression of the left c6 nerve.

    – mild to moderate foraminal narrowing at c6/7.

    The Neurosurgeon has now ordered a dynamic MRI with neck flexion and extension. He advises I’m experiencing cord compression symptoms however current MRIs are showing no compression in the neutral lay down position.

    My physical examinations check out fine from what I understand. No strength or reflex issues which I understand to be common symptoms of cord compression. I just wonder is it possible to have the symptoms I’m experiencing from cord flattening or dynamic compresssion (if it Is even occuring) without the physical signs been present? Evidence of any compression has not been found currently.

    Appreciate any input you may have

    Thanks

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