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delayed central cord syndrome

delayed central cord syndrome

My brother just turned 64 years old.  He has sought medical treatment for years for severe neck pain, burning in feet, loss of strength in his arms and legs, etc.  In Dec 2006 he has MRI which stated: Multiple defects at the disc levels beginning at C3 through T3.  Spinal canal appears narror from C3 - C7 - T1.  Loss of disc and more consistent with disc desiccation.  C2-3 reveals minimal narrowing of the left foramen. C3-4 disc spur complex is seen indenting the dural sac.  the cord is somewhat flattened in configuration consistent with spinal stenosis. the right foramen is somewhat narrowed and the left more moderately narrorwed. c4-5 demonstrates a modereate degree of spinal stenosis due to a posterior disc sdpur complex that impinges upon the anterior dural sac on the entralce to the right foramen.  there is displacement and deformity of the cord.  C5-6 once again central canal narrowing and flattening of the cord sna dimpingmenetupon both foramina. c6-7 mild impingmenet on the left foramen c7-t1 narrowing of the left formen.  central canal remains somewhat narrow t1-2 demonstrates impinamgnent on theb anterior dural by disc spur complex and upon the left neural foramen.  t2-3 smaller anterior disc spur co plex with patent foramen. On 9/24/08 a 2nd mri was ordered for Neck and shoulder pain.  Findings straighteni9ng of the cervical lordosis.  vertebtral body heights are maintained.  disk dessication (desiccation) is noted throughout the cervical spine.  posterior fossa contenst are unremarkable.  c2-3 uncovertebral spurring that contributes to left formaimal stenosis  c2-3 prominent asymmetric left facet hypertrophy as well as bilaterla uncovertebral hypertropy and spurring and posterior disc osteophyte complexl. circumferential narrowing of the subarachnoid space with ventral indentation of the cord and overall cental canal stenosis.  mild right and moderately severe left formaminal stenosis. c4-5 broadbased central right medical foraminal disc bulge does not appar siginficantly changed.  flattenng of the cord san dmoderate central canal stenosis worse on the right side of the canal. bilateral uncovertebral hypertro[hy and spurring is seen as well moderate bnilateral foraminal stenosis is noted. c5-6 bilateral uncovertebral hypertropnhy and spurring and a broad based centrl disc protrusion.  flattening of the cord and moderate central canal stenosis.  moderate bilateral foraminal stenosis is noted  c6-7 bilateral unconvertebral hypertrophy and spurring as well as a broadbased central disc protrtustion slightlhy eccentric to the rightl.  circumferential narrowong of the ventral subarachnoid space with ventral cord flattening and mild central canal stenosis mild to moderate bilateral formainal stensosis c7-t1 bilateral paracentrl disc protrusions that are larger than on the prior study particularly on left.  flattening of both the right anbd left ventral cord with moderate central canal stenosis.t1-t2 bilateral central disc protrustion narrowing ventral subarachnodi space sith flattening of the cord.  t2-3 focal central disk protruision that indents the ventral cord with canal stenosis.  He had EMG studies done between these two MRIs that were positiive for prolongaiton of the distal latency and conduct block when stim at the antecubital fossa.  left ulnar motor study revealed a moderate reduction of response amplitude and moderate slowing of velocity in the forearm.  right median prolongation of the distal latencyh borderline amplitude and moderate slowing of velocity.  right ulnar motor study moderate redution of amplitude above and below the elbow with moderate slowing velocity after the elbow.  etc.  abnomal complex study the electrophysiologic evidnent is consistent with an ongoing and chronic genralized sensory motor polyneuropathy with demyelinating and asxonal features.  there is also an underlying componet of chronic left c5-6 radiculalopthy.  Had surgery 10/28/08 and by x-mas 2008 was unable to stand on his own, fine motor skills lost in both hands very clumsy, unable to walk feet flopping etc.  He was extremely weak 1 lb grasp in right hand and 10 in in left.  Was told by his neurosurgeon that he may be suffering from delayed central cord sydrome very rare he said only seen it once before.  said that after he had his entire spine decompressed it was too late as it should have been done 2 years prior when he first sought treatment for his condition.  He has now undergone 1 month stay at RIO extrremely well known rehab center in our area for individuals with spinal cord damage.  However he still can't walk, dress himself, everything as listed above and nis neurosurgeon said that surgery 2 years earlier would have prevented this condition. he is now classified as a quadraplegic.  

after reading the MRI done in dec 2006 don't you feel that surgery was justifiable at that time?  I mean with the amount of cord deformity and impingement wouldn't a doctor feel that it would be in the patients best interests for surgery right away then to have waited 2 years later resulting in this spinal cord damage which is now permanent.

Any input you can give me would be greatly appreicated.  I am trying to figure this whole matter out to see if anything can be done for him.  
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