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  • Help with MRI Cervical Please!!!

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    Old 05-30-2014, 03:44 PM   #1
    boggiecarrow
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    Unhappy Help with MRI Cervical Please!!!

    Please. I have had cervical fusion at C5/C6 on 10/2013. Yet I am still in pain. Neck pain and radiculopathy in left upper extremity, and now I'm seeing symptoms going into the right upper extremity. Dr. says everything is fine... Someone please help me. Also I had an EMG performed before the C5/C6 fusion that indicated the c7/c8 was causing the pain and radiculopathy.. Anyone that can help me, please do? Thanks, and may God Bless. Also I am a 28 year old female, that was involved in a automobile accident with acute symptoms.


    TECHNIQUE: Routine without contrast
    FINDINGS: Anterior cervical fusion C5-6 with associated metallic hardware
    artifact as before. Otherwise normal marrow signal. No evidence for
    fracture. Straightening of the normal cervical lordosis is nonspecific but
    can be seen with positioning, spondylosis or muscle spasm. There is normal
    signal throughout the cervical spinal cord. No evidence for Chiari
    malformation. Large central disc protrusion at C7-T1 as before. No
    prevertebral soft tissue swelling.
    C2-3: No focal protrusion. No central canal stenosis or neural foraminal
    narrowing.
    C3-4: Mild annular disc bulge without focal protrusion. Mild uncovertebral
    spurring with mild neural foraminal narrowing greater on the right. Minimal
    central canal stenosis.
    C4-5: Mild annular disc bulge. No focal protrusion. Mild central canal
    stenosis. Mild to moderate right and mild left neural foraminal narrowing
    secondary to uncovertebral osteophyte formation.
    C5-6: Anterior fusion. No focal protrusion. Minimal uncovertebral spurring
    with neural foraminal narrowing. No central canal stenosis.
    C6-7: Minimal annular disc bulge without focal protrusion. No central canal
    stenosis or significant neural foraminal narrowing.
    C7-T1: Large central disc protrusion measuring 8 mm at the base and
    extending 4.7 mm into the central canal. This is similar to previous
    examination. There is moderate focal central canal stenosis. There is
    moderate bilateral neural foraminal narrowing with uncovertebral spurring.
    IMPRESSION: 1. Stable postsurgical changes at C5-6.
    2. Stable multilevel spondylosis most pronounced at C7-T1, C3-4 and C4-5.
    3. Large central disc protrusion at C7-T1 detailed above

     
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    Old 05-30-2014, 04:42 PM   #2
    teteri66
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    Re: Help with MRI Cervical Please!!!

    Welcome to the board. Why was the one level operated on when it would appear that C7-T1 was creating just as much of a problem?

    What are your current symptoms?

     
    Old 05-30-2014, 05:08 PM   #3
    boggiecarrow
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    Re: Help with MRI Cervical Please!!!

    Current symptoms are: Severe neck pain, loss in range of motion, weakness numbness and pain extending into the left shoulder down into the fingers. Sharp head pains at the base of the skull where the indention is. More recently it has began to travel into the right arm as well.
    When I first saw a neurologist he performed a EMG test, by sticking needles into my arms to evaluate the nerve response. The test results concluded the weakness, pain and numbness was from the C7/T1. From there I was sent to a surgeon ofter 1 1/2 years of conservative measures. The neurosurgeon said that he believed that the pain and other symptoms were coming from the c5/c6, so of course, with him being a specialist in the field, I proceeded with his recommendations. After the surgery I still complained of the same symptoms. I asked him about the c7/t1 being the cause of it. He stated he was not that it would require removing a portion of the collar bone in order to get to it, and that he was uncomfortable performing that level that maybe one of his colleagues could/would. After many appointments with him due to the same symptoms, he orders today's MRI. I completed them and went to his office, and he said the results were normal nothing wrong, and that he would like to send me back to the original neurologist to have another MRI and be tested for MS, as well as to a cardiovascular dr. to test my blood flow to see if that maybe the cause of the numbness and weakness. He is unaware that I got a copy of the imaging today. When I got home, I put the imaging cd in to review it, and found the report that you see above. I'm so confused.

     
    Old 05-30-2014, 05:11 PM   #4
    boggiecarrow
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    Re: Help with MRI Cervical Please!!!

    Sorry not another MRI, another EMG performed by the original neurologist.

     
    Old 05-30-2014, 05:18 PM   #5
    boggiecarrow
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    Re: Help with MRI Cervical Please!!!

    I did also have a herniation at the c5/c6 level. In the beginning the neurosurgeon said that if the c5/c6 level did not rectify the symptoms, like he believed it would, we would proceed to the remaining level. Now that it has come to that point, he is saying he believes I have MS.

     
    Old 05-30-2014, 06:17 PM   #6
    teteri66
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    Re: Help with MRI Cervical Please!!!

    That sounds pretty odd to me. There is little evidence to suggest MS and sufficient evidence to think that the disc at C7-T1 that is bulging into the spinal cord is generating pain.

    If I were in your position, I would consult with a different spine surgeon before spending money and time pursuing a completely different cause for your symptoms.

    The C7 dermatome runs down the outside of the arm and innervates the middle fingers and C8 innervates the little finger.

    I have no formal medical training, but it seems to me that your surgeon has made and continues to make some odd choices. I would really encourage you to get an opinion from a spine surgeon in a completely different practice.

    Last edited by teteri66; 05-31-2014 at 12:28 PM.

     
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    Old 05-30-2014, 06:45 PM   #7
    boggiecarrow
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    Re: Help with MRI Cervical Please!!!

    There are 7 cervical vertebrae, however 8 cervical nerves. It is at c7/t1 where the cervical and the thoracic meet. I wish that I could up load the imaging from today. Yes! That is where the pain, numbness, and weakness is! On the outside of my arm, running down my elbow and into my fingers from the pinky to the middle finger. My elbow has pain however all the way through. If I attempt to rest my elbow on a hard surface, I get a stabbing/electrifying pain. I have been going through this for 2 years. I'm tired. I'm 28, a Mom of three boys, a 7 year old and twin 3 year olds. I'm tired. The surgeon mentioned also that he has the original neurologist listed in his personal cell phone and that he would give him a call. Thank you so much for all of your advise, as I really needed to know if I am the only one who thinks something just doesn't add up. Millions of hugs to you teteri66

     
    Old 05-30-2014, 09:55 PM   #8
    roadiez
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    Re: Help with MRI Cervical Please!!!

    I don't understand why he would need to remove a portion of the collar bone to get to the C7-T1. I had C4-C7 Anterior & C4-T1 Posterior last year. Believe me they didn't touch my collar bone what-so-ever.
    And throwing out the MS word is to be being a complete [email protected]#$^#. Because you never ever start to suspect that unless you have more symptoms than what you are having. Has anyone even done a MRI of the brain? If so what are the results? And then was a lumbar puncture performed? I just think this guy is using some scare tactics on you & you really need to seek some other opinions.

    I would definitely go back to the original neurologist & also seek out another neurosurgeon.
    __________________
    Cervical:ACDF C4-C7 & Posterior Corpectomy C4-T1. Now 2 Broke Screws @ T1 level Posterior. Severe Migraine's, Multiple white spots on brain (Unknown Why).

     
    Old 05-30-2014, 10:15 PM   #9
    boggiecarrow
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    Re: Help with MRI Cervical Please!!!

    Thank you, roadiez. No, I've not had an MRI of the brain, nor have I had a lumbar puncture. He advised me in order to get to the c7/t1 he would have to go through the front of the neck, as it is not accessible through the back, requiring him to remove a portion of my collar bone. I just went along with him since he is a specialist. This site should allow you to upload images. It would allow me to explain so much better. Thank you a lot for your insight!

     
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