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Old 11-26-2008, 09:13 AM   #1
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MRI Results C5-6 disc extrusion that indents the ventral spinal cord

I am looking for an interpretation of my recent MRI. I am a 36 year old female with no history of back/neck problems. Here are the results:

C5-6: There is a loss of disc space height. Anterior osteophytic spurring is seen. There is a 5mm AP cranially and caudily dissecting 11mm left paracentral disc extrusion that contacts and modertly indents the ventral spinal cord. There is moderate left foraminal stenosis with expected contact of the left C6 nerve root.
Signal changes are identified within the nasopharynx measuring 7mm seen on sagittal series 2 image 9 which may represent a Tornwaldt or adenoidal cyst. There is straightening of the normal cervical lordosis.
CONCLUSION: C5-6, there is a 5mm AP cranially and caudally dissecting 11mm left paracentral/foraminal disc extrusion that contact and modertly indents the ventral spinal cord. There is moderate left foraminal stenosis with expected contact of the left C6 nerve

 
Old 11-27-2008, 08:23 AM   #2
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Re: MRI Results C5-6 disc extrusion that indents the ventral spinal cord

i am not too sure about the naso findings but the c spine findings will probably need surgical intervention just to fix that extruded(herniated) disc since it is now touching, and also showing an indent into your spinal cord. it states moderate but that is always up for interpretation by your consulting surgeon too. your disc would have had to have torn a bit in the back in order to have the inner contents extrude like it is. have you consulted at least a neurosurgeon about this yet? i would get a couple of opinions myself. are you having ANY odd symptoms at all or pain? you said you are not up in your post but if you do have cord contact,it does not always present with pain,but odd sensations or strange "perceptions" of things,like the feeling of "wet" somewhere on your skin or little zingers or just anything you would not normally feel. i am also wondering about the "expected" contact of the c 6 nerve root? i am wondering if this was not actually visable becasuse of the extrusion being in the way? just a guess since normally it would show up pretty clearly upon MRI.

considering that your main issue appears to be at the c 5-6 level,are you getting any odd feelings or pain in your thumb or forefinger and possibly the middle too? i am not too certain just what they are talking about with the first sentence of the conclusion there? its a bit confusing. i do know when they state cranially it means closer to the brain or above,and when they state caudially,it means below or towards the caudial area. so it means above and below "something'. perhaps if you posted this in the spinal boards wayyyy down below here in the "Ss",they might be able to explain that particular finding a bit better for you,its a bit confusing to me. there are alot of really great knowledgable people down there. what did your ordering doc have to say about this report in general? sorry i couldn't help you more. but head on down to those spinal boards. good luck, FB
__________________
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
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Old 12-01-2008, 07:38 AM   #3
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Re: MRI Results C5-6 disc extrusion that indents the ventral spinal cord

The only "symptom" that I have at all is unexplained and sporadic throughout the day - tingly feeling up my entire left arm. I see a neurosurgeon tomorrow & an orthopaedic surgeon next week for a 2nd opinion. My neurologist was quite upset at the findings that he called the neurosurgeon's office himself and said he wanted me seen within the week.

On the MRI itself- it is clearly visiblely touching my spinal cord - there is no mistaking it.

I thank you for your insight- this is very new to me. Where do i fins the "spinal boards" -

 
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