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Update with Cspine MRI
Hello everyone it has been a few months since I have been on. I finally got a new GP and a new Neuro.
The GP feels my symptoms are consistant with MS and sent me to a new Neuro but will possibly send me to a MS specialist depending on how things go with this Neuro.
The new neuro feels my lesions are not consistant with MS as they are not near the ventricles. She did order the Cspine mri and will order a LP depending on the results from MRI.
I have my results but not sure what they mean. Could any of you offer any insight on the results?
Cervical lordosis is mildly straightened. could be positional or associated with spasm. possible artifactual cord signal elevation at C2
lower cervical spodylosis with left c7-t1 foraminal stenosis.
c5-t1 facet hypertrophy
The GP feels my symptoms are consistant with MS and sent me to a new Neuro but will possibly send me to a MS specialist depending on how things go with this Neuro.
The new neuro feels my lesions are not consistant with MS as they are not near the ventricles. She did order the Cspine mri and will order a LP depending on the results from MRI.
I have my results but not sure what they mean. Could any of you offer any insight on the results?
Cervical lordosis is mildly straightened. could be positional or associated with spasm. possible artifactual cord signal elevation at C2
lower cervical spodylosis with left c7-t1 foraminal stenosis.
c5-t1 facet hypertrophy
COMMUNITY LEADER
Hi there, good to hear from you....
"Cervical lordosis is mildly straightened"....Cervical lordosis (straightening of the cervical spine ) and it can cause tension in the spinal cord and the carotid blood vessels which basically supply blood to brain. Any blood flow interruption to the brain can lead to dizziness/vertigo, headaches, confusion, tinnitus, neck pain and stiffness, hand and leg issues etc. The report is indicating it is only mild which may or may not be due to the laying position of your spine during the MRI.
"possible artifactual cord signal elevation at C2".....this is basically an unidentified anomaly, which may be something but it may be nothing and just one of the weird things that can sometimes happen with MRI's, the technician is pointing it out for further review.
"cervical spodylosis with left c7-t1"......"Cervical spondylotic myelopathy is the most common cause of nontraumatic paraparesis and tetraparesis. The process usually develops insidiously.
In the early stages, patients often present with neck stiffness. Patients also may present with stabbing pain in the preaxial or postaxial border of the arms.[10] Patients with a high compressive myelopathy (C3-C5) can present with a syndrome of "numb, clumsy hands," for which the patient describes difficulty writing, a loss of manual dexterity, nonspecific and diffuse weakness, and abnormal sensations.[2] Those patients with a lower myelopathy typically present with a syndrome of weakness, stiffness, and proprioceptive loss in the legs. These patients often exhibit signs of spasticity.
Weakness or clumsiness of the hands may be seen in conjunction with weakness in the legs. Motor loss in the hands with relative sparing of the legs, however, is a relatively rare syndrome. Symptoms are commonly asymmetric in the legs. Loss of sphincter control and urinary incontinence are rare; some patients, however, report urinary urgency, frequency, and/or hesitancy "
http://emedicine.medscape.com/article/1144952-clinical
"foraminal stenosis".........."Cervical stenosis develops when either the spinal canal or nerve passageways (foramen) become narrow. It is a common cause of neck pain. If the spinal canal is narrowed, the disorder is also termed cervical central stenosis. If the foramen, or the lateral (side) corners of the spinal canal, is narrowed, it is called cervical foraminal stenosis. When either condition develops, the spinal cord and/or nerves are compressed. Sometimes, patients have both types of cervical stenosis."
http://www.coloradospineinstitute.com/subject.php?pn=cond-cervical-stenosis-12
I think your spinal MRI may be indicating and could explain what's been happening to you......and whilst your spinal MRI isn't suggestive of MS, your MRI has found some structural and nerve compression abnormalities that will need to be looked into further.
Merry Christmas........JJ
btw potential proof it's not been all in your head and something you can whack your husband with the next time he jokes about it being in your head again, hmmm just a fun thought :D
"Cervical lordosis is mildly straightened"....Cervical lordosis (straightening of the cervical spine ) and it can cause tension in the spinal cord and the carotid blood vessels which basically supply blood to brain. Any blood flow interruption to the brain can lead to dizziness/vertigo, headaches, confusion, tinnitus, neck pain and stiffness, hand and leg issues etc. The report is indicating it is only mild which may or may not be due to the laying position of your spine during the MRI.
"possible artifactual cord signal elevation at C2".....this is basically an unidentified anomaly, which may be something but it may be nothing and just one of the weird things that can sometimes happen with MRI's, the technician is pointing it out for further review.
"cervical spodylosis with left c7-t1"......"Cervical spondylotic myelopathy is the most common cause of nontraumatic paraparesis and tetraparesis. The process usually develops insidiously.
In the early stages, patients often present with neck stiffness. Patients also may present with stabbing pain in the preaxial or postaxial border of the arms.[10] Patients with a high compressive myelopathy (C3-C5) can present with a syndrome of "numb, clumsy hands," for which the patient describes difficulty writing, a loss of manual dexterity, nonspecific and diffuse weakness, and abnormal sensations.[2] Those patients with a lower myelopathy typically present with a syndrome of weakness, stiffness, and proprioceptive loss in the legs. These patients often exhibit signs of spasticity.
Weakness or clumsiness of the hands may be seen in conjunction with weakness in the legs. Motor loss in the hands with relative sparing of the legs, however, is a relatively rare syndrome. Symptoms are commonly asymmetric in the legs. Loss of sphincter control and urinary incontinence are rare; some patients, however, report urinary urgency, frequency, and/or hesitancy "
http://emedicine.medscape.com/article/1144952-clinical
"foraminal stenosis".........."Cervical stenosis develops when either the spinal canal or nerve passageways (foramen) become narrow. It is a common cause of neck pain. If the spinal canal is narrowed, the disorder is also termed cervical central stenosis. If the foramen, or the lateral (side) corners of the spinal canal, is narrowed, it is called cervical foraminal stenosis. When either condition develops, the spinal cord and/or nerves are compressed. Sometimes, patients have both types of cervical stenosis."
http://www.coloradospineinstitute.com/subject.php?pn=cond-cervical-stenosis-12
I think your spinal MRI may be indicating and could explain what's been happening to you......and whilst your spinal MRI isn't suggestive of MS, your MRI has found some structural and nerve compression abnormalities that will need to be looked into further.
Merry Christmas........JJ
btw potential proof it's not been all in your head and something you can whack your husband with the next time he jokes about it being in your head again, hmmm just a fun thought :D
Most of those results are relate to your physical spine, rather than your spinal cord. The lordosis is just a flattening of the natural curve of your cspine -- it may show up just because of your positioning in the tube.
The facet joint hypertrophy is a degenerative thing -- could cause back pain, etc.
Foraminal stenosis can cause compression of a spinal nerve which can then cause symptoms such as numbness and tingling, neuropathic pain and pins and needles -- are these symptoms you've had?
The radiologist mentions cord signal elevation at C2 but suggests it is artifactual -- an artifact; in their opinion they think it's not a lesion of any sort but just a random event due to imaging.
Your neuro will be able to sort it out for you better than I can. Certainly if he or she says your mri is fine, you might want to have someone investigate the stenosis issue.
The facet joint hypertrophy is a degenerative thing -- could cause back pain, etc.
Foraminal stenosis can cause compression of a spinal nerve which can then cause symptoms such as numbness and tingling, neuropathic pain and pins and needles -- are these symptoms you've had?
The radiologist mentions cord signal elevation at C2 but suggests it is artifactual -- an artifact; in their opinion they think it's not a lesion of any sort but just a random event due to imaging.
Your neuro will be able to sort it out for you better than I can. Certainly if he or she says your mri is fine, you might want to have someone investigate the stenosis issue.
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