NEUROLOGY/NEUROSURGERY EXPERT FORUM
Unilateral renal failure from nerve damage?

Unilateral renal failure from nerve damage?

Hello!

38 yr old caucasian male who sustained several herniations in the last year has now been diagnosed with CKD, unilateral renal failure. The right kidney is now only functioning at 20%. The left kidney appears to be fully operational.

Could any or all of the following injuries have caused and/or contributed to the unilateral renal failure?

C4-5: broad-based disc bulge flattens the ventral thecal sac resulting in mild to moderate canal stenosis. Uncovertebral spondylosis results in bilateral neural foramen stenosis.

C5-6: superimposed upon a boad based disc bulge and a central disc protrusion which may be associated with marginal osteophyte abutting and mildly deforming the spinal cord resulting in at least moderate canal stenosis.  

C6-7: a bilobed central disc herniation flattens the spinal cord resulting in severe canal stenosis. Uncovertebral spurring results in mild bilateral neural foramen narrowing.

T1-2: tiny right paracentral disc protrusion

T2: 4mm focus of increased signal right paratracheal and thoracic inlet of uncertain significance.

T11-12: right subarticular disc protrusion possibly impinging upon the right T11 nerve root. No significant canal stenosis.

L1-2: diffuse disc bulging causing moderate to severe central canal stenosis. No significant neruoforaminal stenosis.

L3-4 and L4-5: diffuse disc bulging causing mild central canal stenosis. No significant neuroforaminal stenosis.

L5-S1: diffuse disc bulging abutting the thecal sac but not significantly narrowing the canal. However there is bilateral neuroforaminal stenosis, right great than left with possible impingment of the L5 nerve root.

My boyfriend had ACDF of C5-6 and C6-7 and also underwent a laminectomy and decompression of L1-2.

We are really curious to know what your thoughts are regarding whether the above issues could have caused renal failure.

Thanks for your help.
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Dear Friend,
Well the disc problem and the kidney failure problem are 2 entirely different entities.
So don't worry that they are correlated.
Would request you to consult an orthopaedician as soon as possible as there are multiple level of disc involvement present. So physical examination is necessary to find out the management plan.
Hence visit a nephrologist for the Kidney issue and an orthopaedician for the spine related issue.
All the best.
Regards..
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