neck spasms started and I put this together with shakiness going down stairs, incontinence issues, and hyperreflexia(my reflexes are so brisk it's like clonus) and wanted to see NS again...of course had to go through proper channels and see PCP first...he ordered steroids and a STAT Mri....I am a nurse so I'm at either an advantage or disadvantage in thinking too much about this! MRI findings:
There is mild stranding of the cervical lordosis which could be secondary to the patient positioning or muscle spasm.
The cervical spinal cord is normal in signal and caliber.
The is no focal disc herniation, central stenosis or neural foraminal narrowing in C2-3, C3-4, or C4-5.
At C5-6 there is mild disc space narrrowing. There is diffuse disc osteophyte complex which abuts the spinal cord without evidence for cord compression. There is mild central narrowing at this level. There is mild-to-moderate left and mild right neural foraminal narrowing at this level. The disc osteophyte complex appears to have slightly increased in size since 2005.
The C6-7 and C7-T1 levels are within normal limits.
Degenerative disc disease at C5-6. The disc osteophyte complex at C5-6 may have slightly increased in size and abuts the spinal cord. However, there is no evidence for cord compression at this level. There is bilateral neural foraminal narrowing at C5-6 as described.
So it sounds not too bad from the MRI....my understanding though is that there may need to be intervention with signs of myelopathy?!?!? I remember 4.5 yrs ago the NS commenting that my symptoms present as indicating cord compression with the myelopathy, yet the findings don't indicate this degree.....so I'm waiting for my appointment 12/10/09- I feel like I will be wasting my time along with the NS if there is really nothing going on with the spinal cord, yet I show the signs of myelopathy?!?!
If there are S/S of hyper-reflexia/clonus, then this shows Upper Motor Neuron Lesion (UMN). Being a nurse, you can understand the medical terminologies in a better way. I am sure that it can be either myelopathy or CNS related.I agree there is a neural foraminal compression, but myelopathy is the main suspect.
Please consult the Neurosurgeon or Orthopaedician who specializes in Spine.
Feel free to ask more......
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.