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Old 10-30-2012, 02:59 PM   #1
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severe spinal stenosis/degenerative disc disease... need help understanding MRI

Hello all, I posted VERY EARLY this morning and made no sense, No wonder I didnt get a reply, lol I'm sorry im just so weak in my arms and in so much pain needing answers.
I was wondering if someone could please help me understand the severity of these results and maybe if your educated in this area it would be wonderful if you could explain it to me PRETTY PLEASE
God Bless
someone relay this mri to me PLEASE!!!!!


Procedure(s): Cervical Spine

Cervical spine MRI. Comparison is made with the previous exam
9/15/2011.

Findings:
There is a minimal smooth reversal of the normal cervical lordosis in
association with anterior disc space narrowing at C5-6. This is
similar to the prior study. There is no acute fracture. There is no
measurable spondylolisthesis. There is disc desiccation throughout the
cervical spine with mild loss of the disc height at C3-4 and C5-6. In
the sagittal projection in the cord is contacted at C3-4 and C5-6 and
is displaced posteriorly at these levels without effacement of the
posterior CSF space to suggest impingement. There is no definite
intracord signal abnormality. This study is significantly limited by
motion artifact on the axial images and, to a lesser extent, on the
sagittal images.

C2-3: There is no focal disc herniation. There is no significant
narrowing of the central canal or neural foramina. There is mild facet
disease.

C3-4: There is a mild broad-based disc herniation which may be
partially ossified. This looks similar to the previous examination.
This contacts and flattens the ventral cord but does not obliterate
the CSF space posteriorly to suggest cord impingement. There is no
intracord signal abnormality. There is facet and uncovertebral disease
with severe bilateral foraminal narrowing. This looks similar to the
prior study.

C4-5: There is no focal disc herniation. There is facet and
uncovertebral disease. There is no significant narrowing of the
central canal. There is mild right foraminal narrowing. There is
moderate left foraminal narrowing. This is similar to the prior study.

C5-6: There is a moderate broad-based disc herniation which contacts
and flattens the ventral aspect of the cord but does not obliterate
the CSF space posteriorly to suggest cord impingement. Minimal
intracord signal abnormality cannot be excluded. The herniation at
this level has increased in size since the prior study. There is facet
and uncovertebral disease. There is a mild right foraminal stenosis.
There is a moderate to severe left foraminal stenosis.

C6-7: There is no focal disc herniation. There is facet and
uncovertebral disease. There at least moderate and possibly severe
foraminal narrowing on the right. There is severe left foraminal
narrowing.

C7-T1: There is no focal disc herniation. There is no significant
narrowing of the central canal or neural foramina.

In the sagittal projection, the proximal thoracic spine is
demonstrated through the T2-3 disc level and looks normal in the
field-of-view.

Impression:
1. There is a moderate disc herniation at C5-6 which contacts and
flattens the ventral cord without definitely impinging on the cord.
Minimal intracord signal abnormality cannot be excluded. Motion
artifact is limiting the study in this regard. The disc herniation at
this level looks slightly larger than at the time of the prior
examination.

2. There is a disc herniation which may be partially calcified at
C3-4. This also contacts and flattens the ventral aspect of the cord
but to a lesser extent at C5-6. This looks unchanged from the prior
study.

3. There are potentially significant foraminal stenoses at multiple
levels. The sensitivity and specificity of the study is limited by
motion artifact.

 
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Old 10-31-2012, 02:11 PM   #2
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WebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB User
Re: severe spinal stenosis/degenerative disc disease... need help understanding MRI

Your MRI is complicated, but far from terrifying. For starters, the radiologist does not see cord impingement due to the herniated disks. The disks are being pressed upon from in front, but they have not lost their leeway in BACK, because the posterior CSF has not been pushed away (effaced). From this, the radiologist is INFERRING that the pressure on the front of the cord is not yet serious.

You do have a number of foraminal problems. The foramina are the openings in the front-sides of the spinal structure through which pass the peripheral nerves after leaving the cord. SEVERAL things can impinge upon those nerves, and you may have them all. You have the herniated disks, which may be pressing into the foramina. You also have osteoarthritis (bone overgrowth) of the uncinal ridges on your vertebrae and of the facet joins on the sides of the spine. The radiologist, unfortunately, is not clear as to which of these things are narrowing the foramina. Maybe all of them.

I think that you need to get serious about this and stop avoiding doctors because they MAY be wrong some times. You need to carefully catalog ALL of your symptoms, and then talk to a NEUROLOGIST (not a neurosurgeon) as to which may be caused by spinal problems (and which problems may be causing them) and which are unlikely to be spinal in origin. There's no reason that someone with spinal problems might not have other unrelated problems.

When you have a catalog of symptoms, locations and possible causes, then you can talk to a surgeon aout what he might do. If you don't take charge this yourself, there are all too many surgeons who are happy to do unnecessary operations, and you'll be the one who pays.

FWIW, I think you definitely need cervical surgery, but I think you might get away with one or more less invasive surgeries (like foraminotomies) for the time being, and avoid 2- or 3-level fusions, which some surgeons would want to do.

Last edited by WebDozer; 10-31-2012 at 02:13 PM.

 
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Old 10-31-2012, 03:22 PM   #3
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Re: severe spinal stenosis/degenerative disc disease... need help understanding MRI

I really do appreciate this...

Thank you so much, I have been through soooooooooo much pain,numbness and at least 80 percent of my arm and left leg use, they just hang there most of the time. Iv been told theres nothing wrong with me and that it's all in my head. its refreshing to know otherwise.

I posted about a yr ago when this all got bad and have been imoble and home most of the time depending on how i feel. I was an active person, I just want that back yano?

can all this cause my arm to start shaking? I mean i do have a buzzing in my hands feet and calves but no one else can see that. This is showing

 
Old 10-31-2012, 03:25 PM   #4
Junior Member
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Join Date: Sep 2011
Location: Plymouth MA. USA
Posts: 18
Yolanda72 HB User
Re: severe spinal stenosis/degenerative disc disease... need help understanding MRI

I really do appreciate this...

Thank you so much, I have been through soooooooooo much pain,numbness and at least 80 percent of my arm and left leg use, they just hang there most of the time. Iv been told theres nothing wrong with me and that it's all in my head. its refreshing to know otherwise.

I posted about a yr ago when this all got bad and have been imoble and home most of the time depending on how i feel. I was an active person, I just want that back yano?

can all this cause my arm to start shaking? I mean i do have a buzzing in my hands feet and calves but no one else can see that. This is showing to others, This happend today when i layed on my back. I'm also still losing words, can't seem to find the right words, stutter, slur, is this from my spinal issues?

 
Old 10-31-2012, 03:26 PM   #5
Junior Member
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Join Date: Sep 2011
Location: Plymouth MA. USA
Posts: 18
Yolanda72 HB User
Re: severe spinal stenosis/degenerative disc disease... need help understanding MRI

I really do appreciate this...

Thank you so much, I have been through soooooooooo much pain,numbness and at least 80 percent of my arm and left leg use, they just hang there most of the time. Iv been told theres nothing wrong with me and that it's all in my head. its refreshing to know otherwise.

I posted about a yr ago when this all got bad and have been imoble and home most of the time depending on how i feel. I was an active person, I just want that back yano?

can all this cause my arm to start shaking? I mean i do have a buzzing in my hands feet and calves but no one else can see that. This is showing

 
Old 10-31-2012, 03:31 PM   #6
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Join Date: Sep 2011
Location: Plymouth MA. USA
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Yolanda72 HB User
Re: severe spinal stenosis/degenerative disc disease... need help understanding MRI

lol, my computer froze when i posted this. I just kept clicking away.. sorry about the reposts.

 
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