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if its in the eventually it become a clear the ligamentum causes my symptoms
(and the symptoms get worsen over time )
what you will recommended me do (bases on what you was see on the images )?
I m also was share with you flexion-extension imaging of XR.
** i know your opinion a bout my symptoms with the imaging but when i m take the previous history of the injury (2010) and chronic neck pain from 2015 and more severe in last 3 years (from arthritis ) ,and see on the imaging of 2016/20 not show the ossification of c3-4 ligamentum.
and in 2021 its see (and some small very little signs also show on the MRI of2020)
and very seen in 2021/2
in 2021/11 and 2/22 the MRI was show on the back of the
spine (CSF completely disappeared in 4 slices of axial 1mm and the canal on the left side with CSF just on the front measure 10 mm and on the right it’s 14 .Meni
this sexual problem started before 1-2 months .
it is maybe next step of symptoms of more of the buckling of ligament flavum c3-4
also with weakness in the lower extremities and some numbness for a 1 year.Meni
I want to share a new symptoms that i have in last two month.
Sexual problems.
This can be effected by ligamentum bucklingm.?Meni
“I understand that you are fixated on this infolding of the ligamentum but there is minimal if any pressure on the cord”
I have a lot of reasons TO thinks that.
off course before to surgical fixed it is important to negative any other neurologic issue or other disease
what i was be doing by do brain MRI and neurologic test by neurologist .
because the pressere on the cord it is very minimal but it not was excist before (mri 2020 show that )
also if invesitagtion the mri of 2020 and 2021 and 2022 on the small area (posterior of ligamentum c3-4 i see the coreltion and the progress of ligamentum more compress on the cord even very little ther is evidence that the ap diameter become from 13 to 12 9.5 mm ,
but it is also important to see that i have anterior losses disc high and degeneration disc diesase .
if we combained all of this paremeters and we know what effected on the ligament to compress the spinal .cord posteriory .
we suspect that this ligamentum causes the symptoms ..
Meni
“You don’t have compression”
in the level of c3-4 when i do a measure the canal from ap it is 9.5 mm in the center left side ,on the right it is 13 mm
so why this is not can call stenosis even if this not significant area .
hypertrophy of the ligamentum can causes my symptoms ,even this is very tiny it is enter to the spinal cord even with not compress it is little compress in small area,and maybe over times this lead to more compress and then we can call this compressionon the cord (and this maybe lead to damage the spinal cord and myomalecia
the time will say what is going in the future ,but what i m reading it is important to followed with the symptoms, physical examination , reflex test , and images , and to do the surgery before myelopathy is coming.
need to check the risk to do surgery and risk of not to do the surgery .
it is very important to determine if this will lead to myelopathy or not bfore white spot on the cord .Meni
CSM, such as increased signal intensity of the spinal cord on T2-weighted imaging, typically occur late in the course of the disease and are predictive of poor neurological outcome even with decompression surgery.
so it is important to know you needed to know before myelopathy appears to do early surgery.
you don’t think this ?.Meni
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