Neurology Community
Chronic Denervation/Cauda Equina Syndrome/ etc.
About This Community:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Chronic Denervation/Cauda Equina Syndrome/ etc.

Hi, I am a 26 year old male who, until recently, was in good health.  In April of 2011 I suffered an accident at work. I was diagnosed with disc bulges between L2-L5 and a disc herniation between L5-S1 with sciatic impingement. I tried physical therapy and received one epidural steroid injection before developing Cauda Equina Syndrome and was required to have an emergency microlaminectomy and discectomy in July 2011. Post-op I went through another few months of physical therapy without much change. I have muscle atrophy in my left leg as well as tremors, numbness and tingling, and intermittent drop foot. I have not been back to physical therapy since Dec 2011 and am scheduled to see a pain management doctor in the first week of April 2012.

My question is about an EMG I had in February of this year. I am months out from my neurosurgery follow up and my curiosity is getting the best of me. In the EMG/NCV results, the neurologist explanation was this-

EMG Findings
1. EMG shows evidence of irritability and chronic denervation as well as some recurrent new denervation in what appears to be the L5-S1 distribution on the left.
2. Nerve conduction studies, both motor and sensory, of the legs are normal.

Diagnostic Impression
Electrodiagnostic studies show evidence chronic changes from the previous surgery. In addition, however, the patient has noted irritability and what appears to be early or new denervation at L5-S1 on the left consistent with either recurrent root pathology or disc pathology with root compression at this level.


Can you tell me what this all means and if denervation is reversible. Thank you for any help you can offer.
Related Discussions
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Neurology Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Neurology Answerers
620923_tn?1436154699
Blank
selmaS
Allentown, PA
338416_tn?1420049302
Blank
jensequitur
Fort Worth, TX
Avatar_m_tn
Blank
Ball123
293157_tn?1285877039
Blank
Wobbly
209987_tn?1418913008
Blank
tschock
AB
11119474_tn?1428705770
Blank
davincidanes
Rockwood, TN