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Confused about MRI/Doctor Visit

Started by Hollykins2 on 03/10/2015 12:06pm

I've had some symptoms where my primary doctor wasn't sure what was going on. I also have Meniere's Disease and had a vestibular neurectomy in 2010 which complicates things.

I have some pretty severe balance issues. Always blamed that on the Meniere's and the fact that I never seemed to really regain my balance after the surgery. It had started getting better and then got steadily worse. Has been bad in the last year, with it being very bad since about August.

I fall quite often. Then I started noticing that my hands, mostly the left was feeling numb quite often. I drop things constantly. Fine motor skills are not good. I also trip over my own feet. Couldn't figure out why except I started realizing my left foot was doing something funny. (might be foot drop)

I have some neck pain, and pain in the shoulders. Shooting pains in arm and leg, again mostly the left. Occasional muscle spasms in the left rib area. Tingling in the left foot, sometimes in the right one too.

My primary sent me to a neurologist. He ordered a brain and C-spine MRI. Insurance company turned down the C-spine. Brain one came out fine, but as I was still having difficulties he pushed again for the C-Spine MRI. He said my gait was abnormal and called it Ataxia. I walk with my feet kind of far apart and wide.

Kept getting turned down, but FINALLY the neuro got the insurance company to agree to the C-spine MRI and re-did the brain one too. Again the brain one came out fine, and the neurologist said he didn't see any sign of MS.

BUT, he said the C-spine MRI was not good and in fact that I needed to get to a neurosurgeon asap. He said he was going to mark my referral as urgent. Now I am not sure if he was saying that because my MRI really is as bad as he said, or he was hoping to move my insurance company along to get me this referral.

I'm going to post the text from the MRI. Some doesn't sound good, but I am not sure its THAT bad. I have the DVD of the MRI, but I can't tell anything from it.

Since it will probably take awhile to see the next doctor, I was hoping someone here could give me some input. (I do realize you cannot diagnose) Just looking for a little more information that I can glean from the report:

TECHNIQUE: Multiplanar sequential imaging of the cervical spine performed without intravenous contrast

Findings:

There is AP alignment of the cervical spine on sagittal images. There is loss of signal of the cervical intervertebral discs compatible with desiccation. Ventral effacement of the thecal sac is seen at C3-4,

C5-6, C6-7. Vertebral marrow changes at the C5-6 level are compatible with discogenic degenerative changes. The spinal cord is normal in characteristics and configuration.

The visualized posterial fossa is unremarkable.

C2-3: No disc bulge or focal herniation evident. There is no narrowing of the central canal. The right neural foramen is patent. There is minimal/moderate narrowing of the left neural foramen secondary to osteophytic ridging.

C3-4: There is a left asymmetric disc bulge/osteophytic ridge complex which causes minimal narrowing of the anterior left central canal. There does not appear to be abnormal flattening of the spinal cord.

There is minimal narrowing of the right neural foramen. There is moderate/severe narrowing of the left neural foramen.

C4-5: There is a left asymmetric disc bulge/osteophytic ridge complex which causes minimal of the anterior left central canal. There does not appear to be abnormal flattening of the spinal cord. The right neural foramen is patent. There is severe narrowing of the left neural foramen.

C5-6: There is a diffuse disc bulge/osteophytic ridge complex at this level which causes moderate narrowing of the central canal. There appears to be mass effect on the anterior spinal cord. The right neural formen is patent. There is moderate narrowing of the left neural forman. There may be a small central focal herniation of the disc at this level as well.

C6-7: Minimal disc bulge/osteophytic ridge complex which does not cause significant narrowing of the central canal. There does not appear to be mass effect on the spinal cord at this level. The neural foramina are patent.

C7-T1: No disc bulge or focal herniation evident. This is no narrowing of the central canal. There is no neural forminial attenuation.

IMPRESSION:

Multilevel degenerative disc disease as described above. The worst level appears to be at the C5-6 disc space where there is moderate narrowing of the central canal. There appears to be mass effect on

The spinal cord at this level with moderate narrowing of the neural foramen. There may be a small central focal herniation of the disc at this level as well.

Thank you for looking at my post and for any help.

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