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Old 03-10-2010, 01:38 PM   #1
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curious

I have been in a accident and i needed to know what this means.prevertebral soft tissueat c6 thru t2 means......differential diagnosis of retropharyngeal air cannot be excluded........air inlower esophagus .......apparant straightening ofthe normal cerical lordosis.......suspected a broad- based central disc at c4-5 flattening the ventral thecal sac and possible cord.........air identified in the esophagus as a small amount of esophageal air is seen......as well i the lower cervical and upper thoracic spinal region......wil this reqire surgery and how long long for the pain and tingling feeling up mneck and head... numbness in feet and very bad spasms in my neck...... It feels as if its hanging on by a string............

 
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Old 03-13-2010, 11:17 PM   #2
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Re: curious

I can see you must be pretty sore and worried. I hope you have been seen by a good doctor and have follow up appointments.

Are you seeing a specialist? Retropharyngeal air is trauma to the esphogus, common from injuries like punctures, choking on chicken bone or trauma from accidents, also sometimes involves the pharynx. It doesn't always require surgery. You must have had your head whipped pretty good. THe prevertebral tissue swelling is in your spine - it is also from trauma. That may go down in a few weeks. The disc bulge may shrink back on its own - with time and patience and conservative care. Do you have an appointment with a neurosurgeon for eval?

Take care.

Last edited by PNo; 03-14-2010 at 11:13 PM.

 
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Old 03-14-2010, 07:58 AM   #3
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Re: curious

good info as usual NP. what i was wondering here is if you could actually type of what was found word for word in that summary at the very end of your repoort since it does appear you thought to get a copy for yourself which is ALWAYS a great idea,trust me. i am just wondering about mostly the 'cord' finding? like NP stated here,you seriously much have had a major trauma when that MVA hit occured to have the extraneous air in the places you do right now. just wondering here,if you take like your hand and just kind of clowly compress it over both sides of your upper chest area(one side at a time), do you actually 'feel" anything at all moving around like possible tiny air pockets that just could be there too? it would kind of feel like crackles under your hand? most of the lungs are unfortunetly under the ribs so trying to actually check for sub Q air can be difficult even if it is there, but given your other 'air' findings, it really does need to just be checked on and ruled out.

did they actually scan your entire T level/chest area with MRI with contrast or just that c apine level? in some cases, there just could be a tear,or numerous smaller ones that may require much more surgical intervention in order to just keep normal pressures within both lungs? did anyone 'fully' listen to your lungs at the scene or ER in ALL lobes(top bottom, front and back) and has anyone done this since then too? its just the nature of real trauma at play here and what can occur with MVAs. depending upon just how/where you were hit, the speed/velocity that impacted you among other variables, and of course whether or not you were actually wearing a seatbelt and were driver or passenger it is possible to suffer damage much lower than that c and upper T spine.

you just need to make certain that your breathing and everything attached to it are all in good working order at this point. but knowing what that full summary actually is would help alot. how any real rad actually words certain findings really does matter in some cases, alot.

if you are actually having ANY problems in your legs or feet right now,if they have not yet actually scanned your lower T and L spine,they really need to if for no other reason to see if this is actually stemming from what was found in your c spine/neck level, espescially what was going on with the cord combined with alot of traumatic swelling, or to see if you just do have an underlying lower T or L spine type of issue that also could display in the legs/feet areas too(anything like an MVA could cause an underlying herniation/spinal issue anywhere within your spine to also suddenly show itself with certain symptoms if it was just already there pre impact)? but you just do need to make certain that that particular symptom is not actually stemming from your c spine level. and what NP mentioned about seeing a good neurosurgeon for at least a good consult and eval is right on here. this just seriously needs to be looked at by a neurosurgeon for alot of different reasons. they will also want to do their very own read of your films. what any rad states as findings in any given scan will not always be the same in many ways as a good knowledgable NS would see them. NSs are just sooo much more highly educated and just have that "inner working" knowledge going for them too.

just how long ago did this MVA take place and were you hospitalized at all or only treated and released from the ER the very same day? were ALL of your current symptoms present then at the ER or have they kind of set in with time? was that MRI done at the hosp that same time or on a different day after? just some questions that really do matter in the long run here as far as presentation of symptoms(sudden or gradual and how much time they took to show up?) and a few other things too. marcia
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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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