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Is the Neurosurgeon or the Radiologists Wrong???
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Is the Neurosurgeon or the Radiologists Wrong???

I was given an MRI due to Neck back and shoulder pain with numbness and tingling in right arm and hand and later the right side of face and neck.  MRI results were...The vertebral bodies are normal in height with REVERSAL NORMAL CURVATURE centered at C5-C6 level.  The marrow signal of the vertebra is within normal limits.  The disc heights are well-preserved.  C5-C6:  There is a disc osteophyte complex worse in the left paramedian position with mild left central canal stenosis.  I was sent to neurosurgeon who said there was no explaination of my symptoms and nothing to worry about, no treatment options given, no answers to problems, he pretty much acted like i was an idiot
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Hi there. Your cervical spine disc osteophyte and central canal stenosis could be responsible for these symptoms. The face symptoms are inconsistent and hence MS needs to be ruled out. MS is a chronic demyelinating disorder where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Hope this helps. Take care.
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