Avatar universal

Myelomalacia due to injury

I have a friend that recently reported she slipped an fell about the frist of April. She's 37 y/o otherwise in good health. She said she popped right up with no acute injury. She's been able to continue working and ADLs. She c/o bilateral hand numbness and left shoulder and low back pain. She's 5'2" and weights about 170. She went to the doctor and was sent for MRI C-spine. The report came back with "changes w/n the cervical cord at C3-4, c4-5, hypointensive on T1, no compression fracture or subluxatoin. C2-3, C3-4, C4-5, C5-6, C6-7, C7-T1 disc protursions. Enchroachment on c-cord at C3-4 w/generalized disc protrusion and bony proliferative changes. Abnormal signal changes w/n c-cord may represent ealry changes of myelomalacia.
The neurosurgeon wants to do surgery anterior cervical diskectomy w/fusion at C3-4 for HNP. She orgianally only went in for complaints of low back pain and left shoulder pain which have been mild at most. Is all this cervical stuff related to her fall or just a finding?
1 Responses
Avatar universal
Hello Dear,
Myelomalacia is a term that refers to an area of softening of the spinal cord and usually more specifically to an area of the spinal cord that was injured, died, and has been reabsorbed by the body leaving a "hole" or cavity, or spinal fluid - filled space where the orginal healthy spinal cord tissue used to be. A contusion or bruise of the spinal cord from trauma is a very common way for this problem to happen

The spinal vertebrae are separated by disks filled with a soft, gelatinous substance, which provide cushioning to the spinal column. These disks may herniate (move out of place) or rupture from trauma or strain
The main treatment for a herniated disk is a short period of rest with pain and anti-inflammatory medications, followed by physical therapy.
.Non-steroidal anti-inflammatory medications (NSAIDs) and narcotic pain killers will be given to people with a sudden herniated disk caused by some sort of trauma (like a car accident or lifting a very heavy object) that is immediately followed by severe pain in the back and leg.
Steroid injections into the back in the area of the herniated disk can help control pain for several months. Such injections reduce swelling around the disk and relieve many symptoms Transcutaneous Electrical Nerve Stimulation (TENS) is a treatment in which a painless electrical current is sent to specific nerves through electrode patches that are placed on the skin. The mild electrical current generates heat that serves to relieve stiffness, improve mobility, and relieve pain
Treatment methods should be focused on pain relief and maintaining quality of life.

If these do not help  then the only option is surgery.These symptoms are a result of the trauma sustained.You should consult  another neurologist and take a second opinion regarding the pros and cons of the surgical procedure.
Refer http://www.nlm.nih.gov/medlineplus/ency/article/000442.htm

You are reading content posted in the Neurology Community

Top Neurology Answerers
620923 tn?1452915648
Allentown, PA
5265383 tn?1483808356
1756321 tn?1547095325
Queensland, Australia
1780921 tn?1499301793
Queen Creek, AZ
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease