CERVICAL QUESTION

[1776]

Cervical pain, lead in, symptoms, MRI results and questions. Brief lead in information, I am a 42 yr old male. I had Spinal Fusion in 1996 of L1-S1 for severe spinal stenosis with urinary incontinence. Following the spine fusion my torso

[catlover10]

A related discussion, nerve pain after 4 surgeries for spinal stenosis was started.

[1776]

The initial MRI was without contrast, would an MRI w/contrast provide any further assistance? Also, I am familiar with EMG/NCS studies, but what is an SSEP study and would it provide any valuable diagnostic information? Thank you. 1776

[CCFNeuroMD]

Without reviewing the films I cannot make an accurate statement. Based on the report there is degenerative changes at multiple levels, the most severe at the C7-T1 level on the left. This would affect the 8th cranial nerve which does suppy the muslces in your hand/forearm and could cause sensory changes in the hand/forearm. A neurologic examination is critical to determine what nerves may be affected, and to see if the MRI explains your symptoms. Good luck.

[1776]

Can you elaborate on the MRI results. Thank you, Sam

[1776]

Request that you address previous question/answer in lieu of posted MRI results. Thank you, Sam

[1776]

MRI RESULTS FOR CERVICAL QUESTION POSTED SAME DAY by 1776:Had MRI recently that showed results as listed: Procedure

[CCF-Neuro-M.D.-CS]

It would be appropriate to have a consultation with a neurologist. They can review your history and examination and help sort out your symptoms. An MRI of the spine may be needed, and an EMG test (muscle/nerve test) may also be performed. Based on the findings a consulation with a neurosurgeon may be performed. Good luck.