Quote:
Originally Posted by Dubious
The most pronounced findings in relation to your complaints would seem to be:
C4-C6 actually fused together wrong
C3-C4 Demonstrates posterior disc osteophyte complex causing moderate impingement. Unconvertabral degeneration results in mild foraminal narrowing.
C4-C5 There is posterior disc osteophyte complex causing moderate stenosis. There is moderate to severe bilateral foraminal narrowinh due to unconvertabral and facet degeneration.
On sagittal view, degenerated disc with disc space lost is seen at T11-T12 Generalized bulge is present effacinh the anterior subaracnoid space and appear to abut the cord but not causing cord impingement. There is overall mild central stenosis.
EMG Impression: There is evidence for a right median neuropathy at the wrist, that is moderate to severe. In addition, there appears tobe an old chronic right C5 Radiculopathy. These are very busy studies. Your statement that the fusion healed wrong suggest a sharp kyphotic curve at that level which increases cord impingment issues. There are other frank issue of central stenosis which suggests cord impingment. Cord compression could account for pain in general and your lower and upper extremity weakness and cramping. There are also levels on the MRI that would suggest compression of the exiting nerve roots.
Facet joint degeneration and/or associated spasms could account for your headaches. EMG evidence suggest a rather severe case of carpal tunnel syndrome and an old C5 nerve root injury (controls muscles of the shoulders and arms)
There are of course other complicating issues or contributory problems not addressed by the MRI and EMG that could exist. MR myelogram would be helpful. I think you need a really damned good neurologist or neurosurgeon to walk you through this!
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You're so right, I didn't mention complete reversal of lordosis, this is another one of my diagnosis. I will be sitting down with my Neurosurgeon this week, I think it's time I ask more question, especially about the MR Myelogram. This time if I don't understan his answer, instead of blowing it off or trying to figuard it out on my own, I will ask him to re-explain it in a way I can understand. Thank you so much, I understand now.