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Old 05-28-2006, 02:50 PM   #1
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Please Help With Questions

Hi all,
i had some questions about my mri.I don't understand what some of the things mean. Here goes,

Finding: There is a low baseline ap diameter of the cervical canal from c3-36 due to relatively modest baseline pedicle lengh. There is superimposed degenerative as follows:

c3/c4: There is a right central disk osteophyte complex at c3/34 and a central disk osteophyte complex at c4/c5. There is indentation on the spinal cord at each level with csf virtually completely effaced posterior to the cord.

c5/c6: There is a tiny central disk osteophyte complex with only a tiny amount of cfs anterior and posterior to the cord. There is left sided intravertebral joint spurring, but no major neutral foraminal encroachment is present.

c6/c7 Very mild bulging is seen, but only a samll amount of csf is noted posterior to the cord. Foramina are patent. C2/c3 and c7/t1 are patent. Craniocervicakl junction is patent. No marrow signal abnormalities are visualized..

Impression;
1. Congential and acquired spinal stenosis as described.

Thanks if you read this far. I would love to here any feedback about this . Isd it bad? What will happen? Also could this affect my swallowing. I am in a lot of pain.... Thanks so much kelsey1

Last edited by kelsey1; 05-28-2006 at 02:54 PM.

 
Old 05-29-2006, 07:23 AM   #2
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Re: Please Help With Questions

I think the jist ofthis is that you have some very large bone spurring that is actually compressing all levels of your cord to some degree.i am not 100% sure as to what he means by csf.if he is meaning at cerebrospinal fluid,well it would appear that there is such a heavy compression going on that there is only very small amounts of actual fluid being seen between where it is being compressed at.in other words,i think parts of your cord are not being 'bathed' in the csf as they should be.i really am not totally sure here really,this is just an educated guess based on the many MRIs I have had over the years.I don't know either just what possible problems would be possible with regard to the fluid not being able to reach evey area of the cord.posible atrophy maybe?

but at any rate,you do have definite cord compression and a ton of big bone spurs that are the big cause of it.and of course,the stenosis.i am a bit supised in the rads "impression' area that he does not really describe the other issues going on in any way.i know from the reports I ahve had done over the years(just had number 15)that impression area is where everything he finds on the films is normally all summerized in a much more detailed way.i would think your NS would be much better at truely explaining to you in detail just what it is that you are really dealing with here.any MRI needs a second read by someone,whether its your own NS or even another radiologist.the big thing to remeber with ANY actual film reads is that they are totally and completely dependant on that particular rads overall knowledge and experience.nothing more.if this guy who did your read only had limited experience it would show it in the read as opposed to one who has been doing this for like ten or fifteen years,ya know what I mean?knowledge and experience are what is needed in order to get the best read possible of any films.i can tell just by reading the way some of my MRI reports have been written as to which one of the two rad docs who do the interpretations at the rad clinic i have been going to now since 2001 have actually read it..one is always much more detailed in what the findings were than the other rads reports would be.i don't even have to look at the docs signature at the bottom anymore,there is THAT big of a difference in the reads.sad but true,also a bit scarey for us as patients who are counting on those rads to know what the heck they are looking for.

I think seeing you NS is the best next step here so he can see the films for himself then discuss HIS finding with you.most good NSs wont even look at the rad report but will solely rely on their own interpretations of your films.but you need to really find out just whats up in that c spine of yours and any risks and possible treatments he can offer you.good luck and please DO keep me posted on just what you find out.Marcia
__________________
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 05-29-2006, 11:56 AM   #3
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Re: Please Help With Questions

Don't jump out of your skin just yet, Kelsey.

See what the Doc has to say. It might not be anything.

There wasn't any mention of foraminal problems, which is good. The nerves vent from the spinal cord via the foramen, and arthritis (bone growths) pressing on the nerves cause problems for many, many people.

The report gives very little information about the stenosis (narrowed spinal canal) itself. Even when the arthritic bone growths begin to compress the cord itself, there are varying degrees of stenosis.

A good Dr. will match the test, your symptoms, and a clinical exam to provide you with answers or, in some cases, non-answers. Come back and let us know how it goes!

Last edited by funny4mony; 05-29-2006 at 11:58 AM.

 
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