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? MS vs Myelomalicia after ACDF surgery
I recently underwent an ACDF on C5-6 due to spondolysis and significant spinal stenosis. I also had this same surgery 25 years ago 6-7. They used allograft bone and titanium plate on this more recent surgery. I was developing myelopathy prior to surgery that was progressive in all extremities, clumsiness, balance issues, headaches, and had been treated in pain clinic with trigger point injections to muscles in neck. I had an occipital nerve block that triggered an episode of trigeminal neuralgia . I also have a small acoustic neuroma in the left IAC.MRI showed T2 signal changes below C5-6.
Symptoms are still painful even 4 weeks post-op. Dr. ? MS prior to surgery and started me on baclofen.
MRI of brain showed no plaques. Can MS be diagnosised from spinal cord injury? I heard it my be myelomalcia. Is there further testing that could be done to zero in on whether it is myelomalcia? I have not had an LP. B12 ok. Esr OK
CRP > 1.8. I feel some days I can barely function because of the achy, burning and tingling  and jabs of pain in my abdomen. There is not my literature on Myelomalcia out there. Can you shed some  light on this. I will f/u with a new Neurologist in about 1 month. Thank you . Sabina
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