Dysautonomia (Autonomic Dysfunction) Community
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Avatar universal

Autonomic Dysfunction and cervical stenosis

Does anyone here know of any relationship with autonomic dysfunction and cervical stenosis?  I have found a little bit scouring the internet but nothing substantial.  

The reason I ask is that I was involved in a MVA and two weeks later all of my symptoms started.  After the MRI's I was diagnosed with Chiari Malformation and a annular tear at C5-6 with moderate central canal stenosis.  Since most of my symptoms seemed more likely to come from the Chiari Malformation I went ahead and had that procedure with a world class surgeon.  It has not helped.

I have had extensive workups and the only thing that is diagnosed is autonomic dysfunction and the c5-6 herniation.  I know without a doubt that the herniation is causing problems such as pain, numbness, and tingling.  I am just trying to find out if the stenosis can cause or mimic the other symptoms suggestive of AD.  I find it really bizzare that I was perfectly normal before the wreck and now can't stand up of walk to the rest room without being out of breath and having my pulse shoot to 130.

Please do not take this as disrespect, but don't reply telling my to ask my doctors about this.  I have and have gotten the run around.  I am here for information, I don't expect anyone to diagnose me.
25 Responses
620923 tn?1452919248
Hi...I understand ur frustration with drs and the chiari, stinosis dx......I was told my symptoms were not the chiari....I have finally been evaluated by a chiari specialist and found I also have EDS.....which brings me to this forum looking for others.

I was also dx with tethered cord...I would venture if u had a chiari related condition ur surgeon would have checked u for other conditions.The MVA could have caused a syrinx to form...was the accident after ur decompression?

I do know now that the EDS is a main supplier of my pain.

Good luck
Avatar universal
Selma, I never had a syrinx and after the accident was when the symptoms started.  This was 15 months before the decompression by Dr. Oro.  I'm pretty sure I don't have EDS or tethered cord.  Thanks for the reply.
Avatar universal
I may be wrong but I believe that autonomic dysregulation can occur after a multitude of injuries (chest, head, spine) etc. so you unfortunatley have a double whammy of both the injury and the resulting Dysautonomia.
Avatar universal
I do know that pain is playing a big part in this as when the pain is really bad so are the symptoms of AD.  The problem is that pain medicines make me feel much much worse with twitching, panic, and sleep is non-existent.

I have decided to go ahead with a prodisc-c artificial disc replacement.  If I can get through a 4 hour procedure of them cutting a piece of my skull out, I can get through a one hour discectomy.
612876 tn?1355518095
Some milder forms of dysautonomia can be triggered by trauma/injuries in general.  Most of what I have read seems to indicate that this refers to trauma itself and not a specific type of injury.  This applies, for example, to POTS ... though the explanations of the causes of POTS are largely anecdotal at this point.

More severe dysautonomia, as I understand it, can occur from traumatic spinal cord injury.  

From the symptoms you described, it sounds like you are experiencing something more on the milder end of the spectrum.  (Which is not to minimize your symptoms, this is a relative scale where the most severe forms of dysfunction can present life-threatening symptoms, whereas the bulk of us are rather facing something that is life-altering.)  Have your doctors given you a specific diagnosis, or just dysautonomia?  What type of specialist is overseeing the autonomic aspects of your care?  What tests or treatments have they tried so far?

I searched for cervical stenosis/dysautonomia on PubMed and turned up 4 medical journal articles, none of which seemed to actually be related to your question.  If there is a link, I don't think anyone has researched it or done a case study on it yet.  Sorry I couldn't find anything more helpful.  :-/

Avatar universal
Thanks H for the reply.  I may have some kind of autonomic dysfunction but there is def. something more to it.  I get no relief.  I have this intense electrical pain in my neck, chest, and arms.  Sometimes it is in my legs, but it is constant in the other areas.  When the pain is really bad my heart rate will shoot up to 130 when I stand, but when it is not that bad (not often), I can stand up with little increase.

I am constantly dizzy and nausiated, no matter if I am laying down or standing up.  It is worse when standing up.  I don't know maybe the amount of pain I'm in has something to do with it.

I do have gastroparesis, but I also read in an article that even though it is a common symptom of it, chronic nausea can actually cause gastroparesis.

Well I know that the disc is causing at least some problems, I guess I'll see what improvement I get when it comes out.
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