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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


I'm so glad to have found this site. I recently had an MRI because I've been experiencing numbness and tingling in arms. Everything on different websites that I've read regarding OPLL doesn't look encouraging. I'll be 50 in a couple of months, and see that this is about the age it starts affecting people. Anyone out there have a similar MRI at about the same age? I'm wondering how this thing progresses, and how quickly. So far I've experienced very little pain, except for a dull ache in my neck. It's mostly just an irritating tingling feeling. No loss of strength so far. In the last month, since the diagnosis, the tingling is becoming constant. I've also been having muscle spasms in the arms and back, kind of a twitching fluttering feeling. They move around, and are waking me up at night. I'm trying to take everything I read online with a grain of salt, because most of these sites are vaguely disguised advertisements for neurosurgeons and chiropractors. I'm hoping that someone with the same symptoms might let met know what to expect in the coming months and years. I'm too young for Depends!!! (no problems there now). Here's the results of the MRI:



CLINICAL INDICATION: Upper extremity paresthesias. Bilateral numbness
and tingling in the arms for 6 months.


TECHNIQUE: T1-weighted spin-echo sagittal and axial, proton density,
STIR and T2 FSE sagittal and gradient-echo axial images of the cervical
spine at 1.5 T.


COMPARISON: None.


FINDINGS: Straightening of lordotic curvature. Minimal degenerative
retrolisthesis at C4-C5. Otherwise normal alignment. Ossification of
the posterior longitudinal ligament is noted from C4 to C7. This
contributes to cervical spinal stenosis. Signal intensity of cervical
spinal cord is normal. There is no paraspinal soft tissue mass or
paraspinal edema.

There is marked loss of disc height from C4 to C7, with discogenic
endplate changes at these levels. There is otherwise preservation of
disc height.

C2-C3: Minimal central disc protrusion. No stenosis.

C3-C4: Normal disc. No herniation or stenosis.

C4-C5: Posterior disc osteophyte complex (PDOC) and uncinate spurs, with
mild to moderate central stenosis and moderate to severe bilateral
foraminal stenosis. There is minimal cord flattening.

C5-C6: PDOC and uncinate spurs with mild to moderate central stenosis
and moderate foraminal stenosis left greater than right.

C6-C7: PDOC and uncinate spurs with mild to moderate central stenosis,
severe left and mild to moderate right foraminal stenosis.

C7-T1 and T1-T2 discs are normal. Canal and foramina are normal in
caliber at these levels.


CONCLUSION: Disc degeneration and central and foraminal stenosis at
C4-C5, C5-C6 and C6-C7, with OPLL at these levels contributing to
stenosis.
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