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Spinal Cord Disorders Message Board

  • MRI Results

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    Old 01-29-2009, 01:01 PM   #1
    Pumpkinsmommy
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    MRI Results

    Hi,

    I have been all over this board with my many different symptoms, so now I am here! I have a very long history so I'll try and make this brief. Started having neurological issues about year ago. Many many tests done, MRI, MRA, EEG, EMG, just to name a few. The only thing that came out of the tests was mild pinched nerve and some arthritis in my spine. Still had issues so my ortho referred me to a rheumatologist. Bloodwork came back that it "looks" like lupus. Not screaming lupus to me, but ok, I'll bite. Medication not helping. My major issue is with my neck. It literally feels like my neck can no longer support my head. Its terrible!! I asked for another MRI of my cervical spine (already had 2 on the brain and one on cervical spine early in 2008.) These are the findings:

    Findings: Loss of normal cervical lordosis may be positional in nature due to muscle spasm. Small anterior disc osteophyte complex at C4-5. Mild disc space narrowing and anterior disc osteophyte complex at C5-6.

    C3-4: Tiny central herniated disc protrusion. No spinal stenosis or neural forminal stenosis

    C4-5: Dorsal disc osteophyte complex contacts the ventral spinal cord. AP dimension of the spinal canal measures 12mm. Hyperintense T2 signal at the right paracentral portion of the disc compatiible with an annualr fissure.

    C5-6: Dorsal disc osteophyte complex with a small central herniated disc protrusion which contacts the ventral spinal cord. AP dimension of the spinal canal measures 11mm. No significant foraminal stenosis. Hypertense T2 signal at the dorsal aspect of the disc compatible with an annual fissure.

    C6-7: Dorsal disc osteophyte complex. No spinal stenosis or neural foraminal stenosis.

    Impression: Minor degenerative disc disease in the cervical spine. Mild spinal canal narrowing at C4-5. Mild spinal stenosis at C5-6.

    With that being said, my neuro says to me that its not bad. OK, but why does my head feel so off? Does anyone have any issues with the head feeling so heavy, so off kilter so to speak? He did refer me to a neuro surgeon so hopefully, he can help. My quality of life is in the toilet. The only time I feel close to normal is lying down. Sitting hurts. Standing still hurts. I feel better walking than standing.

    Thanks for reading my rant...

     
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    Old 01-30-2009, 02:02 AM   #2
    PNo
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    Re: MRI Results

    Welcome. Can't stay but I will come back and offer advice by the weekend.

     
    Old 01-30-2009, 04:37 PM   #3
    Pumpkinsmommy
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    Re: MRI Results

    Thank you!!

     
    Old 02-01-2009, 10:05 PM   #4
    PNo
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    Re: MRI Results

    Hi I am back. I re-read the information posted. I don't know what "look" like lupus means. There are some clearly defined blood tests and a set of criteria to meet to be really defined as lupus.

    As far as your neck problems go these things you are feeling could be caused by the findings in your neck. Doctors typically have kind of the same response to "mild" findings. They don't give it much value in the beginning and you have to keep going back to get them to pay attention sometimes. Read the boards and you will see plenty of people with mild finds in serious trouble. I think it is individual and based on your anatomy.

    You have lots of bone spurs and space narrowing even if it is mild. You have a herniation and you know that leaks material into the area that shouldn't be there thus causing a response of inflammation. The thing that caught my eye was it says you have contact with the ventral cord and an annular fissure which could also be leaking - more inflammation and funny feelings can be sent from that.

    Overall it isn't that bad as the way of spine things go, but you have multiple levels of this stuff so it would lead one to believe your neck symptoms are related. Go back and talk to the doctor and see if you should try a round of oral steroids (this is a standard first step) and see if you feel a little better. Also maybe some conservative physical therapy might help the things you are feeling.

    Hope this helped - keep us updated.

    NP

     
    Old 02-02-2009, 07:42 AM   #5
    skych
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    Re: MRI Results

    Hi there Pumpkin
    I think NP said a lot in the post she made...
    I did not have cord contact but I did have nnular tears and fissures with herniated discs at C3-C7...some of the herniations were considered to be moderate to severe...they never were touching the cord but boy were they looking pretty close..
    In any case I first has to go through many conservative treatment....Sometimes these treatments help people but at that time I got little relief and ended up with two neck surgeries!
    I am getting better finally.

    Now the interesting thing is that people can get a lot of pain from those injured or damaged discs...thus called Discogenic pain.
    But the fact the report does state there is some cord contact going on does fit to me that you would have those symptoms....some people on the other hand may have the same thing as you and have no symptoms at all.

    Since you have seen a neurologist maybe it is time for a new fresh set of eyes to look at your case.
    Have you tried going to see an Ortho Spinal Specialist??? Or at least another Neuro for a second opinion???

    I know these things are tough and it may seem as though you will have to jump through many hoops to to get answers but please don't give up and keep on coming here to talk with all of us....

    I wish you all the best...
    Hug
    Sky

     
    Old 02-03-2009, 12:51 PM   #6
    Pumpkinsmommy
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    Re: MRI Results

    Hello,

    Thank you both so much for your reply. Your input is greatly appreciated. My neuro did refer me to spine specialist. I'm waiting to get in to see him now. As far as Lupus is concerned, I did have a positive ANA, SS something else and low white blood count. My rheumy says these results point towards lupus. She was not definitive in her diagnosis. I don't have the classic symptoms of lupus, such as joint pain, fatigue and rashes. I am on prednisone and plaquenil. These don't seem to make me feel any better, though. This neck is the biggest culprit. I feel like a bobble head sometimes. I am so looking forward to a fresh set of eyes looking at this because my neuro has tested me for everything that he can think of and all results come back fine. That's a good thing. But now he's at the point where he just wants to prescribe Cymbalta. I don't think Cymbalta will make my neck feel better.
    So, once again, thank you, thank you, thank you for taking the time to read my post and replying so quickly. I will keep you posted!!!

    Oh, I almost forgot: I saw a chiropractor in May and she took these strange xrays with my mouth opened. She said that my atlas bone was rotated. The atlas bone is the first link in the spinal cord. According to everything that I have read and what she's told me, when the atlas bone is rotated, it can cause the whole spine to rotate. Its likened to the first link in a chain. When it turns, the whole chain turns. That's definitely something I will talk to the spine specialist about...

    Thanks,

     
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