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Spinal Cord Disorders Message Board

Spinal Cord Disorders Board Index

Hello. I am new to the boards and am trying to learn. I recently got the results of my MRI and am scheduled to see a NS in a week. Frankly, after reading the results and seeing the pics, I am scared. Symptoms include pain and numbness in right arm and right leg, neck pain and numbness and upper back pain.

Results are:
INTERPRETATION: The signal intensity of the cervical spinal cord is normal'
At C2-3, lhere is no significant disc abncrmality or foraminal stenosis.
At C3-4, there is posterior disc bulging with central and right lateral foraminal disc protrusions as well as some right uncoveftebraljoint spurring' There is right-sided foraminal stenosis.
At C4-5, there is slight central disc bulging. Left uncovertebral joint spurring is present with left-sided foraminal stenosis.
At C5-6, there is posterior disc bulging with a left paracentral disc herniation exhibiting rostral extension and producing cord impingernent and canal narrowing, There appears to be roughly 4 mm of rostrat extension of this disc herniation. Left-sided foraminal stenosis is produced.
At C6-7, there is canal stenosis produced by posterior disc bulging and a
moderate-sized right paracentral disc herniation, Cord impingement is produced. There is bilateral foraminal stenosis.
At C7-T1, there is no significant disc abnormality.
1. posterior disc bulging wifh a moderate-sized right paracentral disc herniation producing canal stenosis and cord impingement at C6-7.
2. posterior disc bulging with a left paracentral disc herniation exhibiting some rostral extension at C5-6. Canal narrowing is produced, as is cord impingement.
3, posterior disc bulging with central and right lateral foraminal disc protrusions at c3-4.
4, Central disc bulging at C4-5.
5, Multilevel forarninal stenosis, as described above.
i can see why you are a bit scared with those results showing up in your c spine. i am wondering just how severe that 'impingement' actually is since it could just be the way this particular radiologist is describing the compression,or it could be more severe,so he is calling it actual impingment,you know what i mean? very obviously,based upon your ongoing symptoms,there is a very direct impingment enough to actually also affect your legs too. how are your actual reflexes when the doc hits your knee with that little hammer thingy, hyper? if you want to actually check this yourself,all you have to do is grab a butter knife with a heavy handle and tap that handle end in the space beneath the knee cap very lightly and see how quick,or "brisk' your actual reflexes are. most people with what you have also have the higher than norm reflexes too. i do from my spinal cord damage. its just how the cord affects reflex when damage or direct compressionis present. you just more than likely have this going on too considering your findings.

seeing a good knowledgable neurosurgeon is really the best way to go here for an initial consult/eval. they just have a much better understanding of how that impingment affects your cord and fixing it too. glad you are going there. i would also encourage you to seek out a second opinion after this one with a totally different non affilliated with the first one,neurosurgeon. getting more than one opinion for something like this really is just a needed thing. every neurosurgeon(also every actual surgeon too)are not created equal, so you do need to seek out the second and maybe even a third opinion to really fully get the big picture of what you are actually dealing with and what possible options you would have as far as fixing this before it becomes a permanent type of real damage to your cord. when i needed to have a cavernous hemangioma removed from my spinal cord up at the c7 t1 level,i actually got twp totally ffereing opinions on what this ment for me so i NEEDED thatthird one just to really see what someone else thought about this too. luckily for me,my third opinion was with the head of neurosurgery at the U of MN,and he was lso the only one who truely understood what these little suckers in your cord ment for the patient. i also found out thislittle glob had bled inthere at least twice,some thing the other two NSs never bothered to tell me about. i was really angry with those other two NSs after finding that out.

but i ended up staying with NS number three only becasue he had removed hundreds of these globs from peoples spinal cords and brains over his 30 years at the U. the key here is experience in just what YOUR needs are with any surgeon. all you can do is go to the consults and see what they have to say about this. i would advise you to if possible,bring another person with you, have a list of questions ready for the NS,and make certain to write down anything that is important, either you, or the person with you. it does help when seeing a surgeon for any level of consult/eval, just to have another set of ears. sometimes we tend to zone on a particular sentence or something else that our surgeons tell us and not really "hear" or take in everything that you get told. i have always brought my hubby and my mom with me for any of my many consults for various surgeries i have had to have. it helps,trust me.

you just have alot of pretty severe findings that show actual impingement in more than one level that NEEDS to be relieved soon or it can become permanent types of damage to your cord(spinal tracts) at some point. so the sooner you can get your surgery scheduled,the better for you. just find that NS who has the most overall experience and knowledge in lifting compression from cords. i do wish you tons of good luck with this. please keep me posted as to what you find out,K? Marcia

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