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  • confused on so many "levels" ;) yikes

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    Old 10-27-2013, 12:50 PM   #1
    ebb553
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    confused on so many "levels" ;) yikes

    TO the good people who are so kind to spend time with interpretation assistance If anyone can provide a basic summary I'd appreciate it. I've googled terminologies and just when I think I'm getting the gist of things, I get confused in the midst of it. Basic, layman terms would be so helpful. I've got an appt with my NS soon as I'm having lots of symptoms - pain down the back of both of my legs, extremely weak ankles, and both thumbs hurt like the dickens. This scan was done 6/12 so I'm worried there may be some changes since that time. I also have Chiari Malf so it will be interesting to see how these things get fleshed out. Thanks so much to anyone who take their time to look at this - that's a big thing to me


    Cervical spine:
    The cerebellar tonsils project approximately 9 mm below the foramen
    magnum, previously 9 mm. No evidence of syrinx. The cervical cord
    demonstrates normal signal. The vertebral body heights are
    well-maintained without evidence of fracture. Disc space height loss is
    identified at several levels most notable at the C5-C6 level with
    associated discogenic endplate marrow changes.

    C 1-2 : No disc protrusion. No spinal canal or neuroforaminal stenosis.
    C 2-3: No significant disc protrusion, spinal canal or neuroforaminal
    stenosis.
    C 3-4: There is an eccentric left disc osteophyte complex with left-sided
    and facet and uncovertebral hypertrophy that results in moderate to
    severe left neuroforaminal stenosis.
    C 4-5: Left-sided facet and uncovertebral hypertrophy results in mild
    narrowing of the left neural foramen no significant spinal canal stenosis
    C 5-6: A broad-based disc bulge minimally effaces the ventral and dorsal
    CSF space and mildly narrows the spinal canal. No significant foraminal
    stenosis.
    C 6-7: Broad-based disc bulge minimally effaces the ventral CSF space.
    There is mild left neuroforaminal stenosis.
    C7-T1: No disc protrusion. No spinal canal or neuroforaminal stenosis.

     
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    Old 11-03-2013, 06:28 AM   #2
    senior41
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    Re: confused on so many "levels" ;) yikes

    eblaircbr, There seems to be a lot of stuff going on with your neck. Certain things will cause symptoms while others may not. Your specialist ought to be able to explain what is going on. Good Luck

     
    Old 11-03-2013, 12:45 PM   #3
    WebDozer
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    Re: confused on so many "levels" ;) yikes

    I'm afraid I can't match your symptoms to your MRI. Thumb trouble would come from the C5-6 foramina, usually, and all you have there are "minimal" and "mild" abnormalities. Usually, the radiologist has to progress to using "moderate", if not "severe", before you should be concerned about something.

    You may have some concern with the left C3-4 foramen, but that should not go further than your shoulder, certainly not to your thumbs.

    As you said, though, it's a rather old MRI. I wonder why you were referred to an NS without a new MRI? Just for the Chiari?

     
    Old 11-12-2013, 08:15 PM   #4
    ebb553
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    Re: confused on so many "levels" ;) yikes

    Thanks so much. Saw NS today and he's ordered a new cervical MRI - that will cover the chiari as well. I've had worsening symptoms of all kinds and its hard sometimes know whats causing what. He suspects my cervical issues have gotten worse, so we'll see soon -- he feels it's possible C5/6 one of the culprits and has probably worsened. Dang Chiari is causing big time CSF flow probs and headaches returning-- for the first time today I heard the word surgery. Will see Dr. Gray, best neurorad ever, to check for spinal leaks again as well. ugh.

     
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