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  • Cauda Equina Syndrome ... I think!

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    Old 05-28-2017, 07:14 PM   #1
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    Cool Cauda Equina Syndrome ... I think!

    2 DIFFERENT SPINAL DIAGNOSES FROM FREE CLINIC DR'S. One has said it is nothing. Lots of people suffer from spinal issues and the other says I need surgery and need to apply for disability so I can get medical help. Confusing! Can anyone tell me what they think of this MRI? Just sending the IMPRESSION from Thoracic Spine and Lumbar Spine. C7-T1: Moderate posterior disc herniation with mild facet changes.Moderate narrowing of the canal with impingement on the anterior cord. T1-T2: Mild posterior disc bulge. Mild facet changes. Moderate thickening of the PLL. Moderate narrowing of the canal with flattening of the cord. T2-T3: Moderate disc bulge. Mild facet changes. Moderate thickening of the PLL. Moderate narrowing of the canal with flattening of the anterior cord. T5-T6: Moderate diffuse disc bulge, mild facet changes, mild narrowing of the canal with flattening of the anterior cord. No evidence of acute fracture or cord edema. No mass lesion or abnormal enhancement identified. IMPRESSION of Lumbar Spine. Congenitally narrow spinal cord. L3-L4: Moderate diffuse disc bulge. Moderate facet and ligamentum changes. Severe narrowing of the canal. Moderate bilateral foraminal narrowing. L4-L5: severe diffuse disc bulge, facet and ligamentum changes. Severe tight canal Stenosis with abnormal enhancement of the central canal and nerve roots. Findings can relate to ongoing subacute nerve impingement. Correlate for Cauda Equina symptomology. Overall appearance not significantly changed from 2014. No evidence of acute fracture.... Whew! Thanks for your opinion!

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    Old 06-05-2017, 06:11 AM   #2
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    Re: Cauda Equina Syndrome ... I think!

    Sorry no one responded sooner. Are you having symptoms of cauda equina syndrome(CES)? This include bowel or bladder issues such as incontinence, sudden muscle weakness such as drop foot, etc? If not, you should become familiar with the whole list of symptoms and seek medical assistance ASAP. CES is one of the few spinal issues that is considered a true medical emergency. Once symptoms develop, the nerves need to be decompressed right away or nerve damage will be permanent.

    Have you seen a spine specialist? This could be either a fellowship-trained orthopedic spine surgeon or neurosurgeon whose practice is limited to problems of the neck and back. Your issues are complicated and you need a doctor with the greatest training in issues of the spine to review your MRI, to perform a physical exam and neurological exam and correlate to the imaging, then provide an accurate diagnosis and plan for treatment.

    It would appear that you were born with a central spinal canal that is more narrow than usual. This is keeping the spinal nerves from being able to function normally. It is causing whatever pain you may have radiate down one or both legs.

    The doctor who told you it is nothing needs his eyes examined! Anyone with severe central canal stenosis needs to be followed closely. Whether you need surgery right away I couldn't say, but anyone with severe stenosis in the lower lumbar area needs to be aware of the symptoms of CES and be watching for them. Plus, generally speaking, the longer the nerves are compressed, the greater the risk for permanent nerve damage.

    The thoracic issues are of lesser consequence, but the lumbar issues require careful monitoring, and depending on your symptoms, surgery will most likely be necessary.

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