Hemangioma are noted at C2-T1 and T4. Minimal scoliosis and reduction of the lower cervical lordosis, but normal alignment. At C6-C7 there is a small central protrusion more prominent on the right effacing the CFS anterior to the cord and causing distortion of the cord but not causing cord compression. No signal change within the cord. At C7-T1 there is a broad central disk bulge/protrusion more prominent on the left narrowing the left lateral recess and narrowing the the exit foramen. At T6-T7 there is a disk protrusion and extrusion extending superiorly behind the PLL causing distortion of the cord but no signal change within the cord appreciated. There are broad bulges at multiple upper to mid thoracic levels.
My consultant said i have major serious problems and i am going to need surgery. i dont really understand the MRI and would appreciate if anyone can break it down for me.
Hi. I'm watching this post waiting for others to respond as well because my situation is very similar to yours but my doctors will NOT do surgery.
Did your doctor say anything about the hemangiomas?? I have one too and I have read that they should be removed but my doctor said they are "nothing", its like a "birth mark".
I'm curious as to how things will go for you and will be following this post.
Your MRI report is very vague. Hemangiomas are on something...bone, nerve tissue, the cord itself...and it doesn't say what the hemangioma is part of. If it's on the vertebral bone, most docs will leave them alone and just watch them as they usually stop growing and shrink back. If it's within the cord, then they may do something but in the absence of symptoms, you may not want surgery and it will most likely leave permanent damage.
Otherwise, you don't have severe nerve compression or cord compression so I don't know why they would operate unless again, something is missing from the report.
Cervical surgery is an easy place to get to and work as they can go in from either front or back but the thoracic is another matter. They can work from the back but from the front causes all sorts of major problems....your heart and lungs are in the way. Now, some work from the side. The disk is in the front of the spine and so that complicates everything.
I would get a minimum of 2 or 3 opinions from other spine surgeons before committing to anything at all. Know the facts about hemangiomas, where yours are and what might happen with surgery.....all possible outcomes. Don't trust the doctor to tell you everything...they rarely do. Ask a lot of questions.
There is a board for those with cervical problems down on the Spinal Cord Disorders board in the Brain and Nervous System section of the site. Might want to ask there too.
Thanks for the reply
I have been referred to another consultant who specialises in cervical/thoracics. The consultant i have seen is a lumbar surgeon. He didnt really say much about the tumours at all. I will ask a lot of questions when i see the new consultant.
Thanks for the reply
I have been referred to another consultant who specialises in cervical/thoracics. The consultant i have seen is a lumbar surgeon. He didnt really say much about the tumours at all. I will ask a lot of questions when i see the new consultant.[/QUOTE]
Hi lynda, I am following your "case" also because i feel so bad that you are going through all this & i am wondering if you would please update after you see the specialist for cervical surgeries. I have a neighbor that had hemangioma in the central spinal canal & some were outside wrapped around a cervical vertebrae, sorry i cant remember the level, but he had to have his surgery done by a head & neck surgeon & neurosurgeon & he did very well all his symptoms( headaches, neuropathy in hands) were relieved & he had a great recovery. I am curious what kind of dr you are seeing next? I hope that you get all the answers to your questions & please update when you can.God bless you & Thank you!
Last edited by gmak; 01-28-2013 at 10:13 AM.