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Re: Cervical (myelomalacia)

Posted By CCF Neurology MD:NT on October 27, 1998 at 23:42:12:

In Reply to: Cervical (myelomalacia)    posted by larry on October 27, 1998 at 15:57:47:






First this forum is great Thank You!
Two MRIs  10 months apart
11/97   c5 c6   central disc herniation   slight posterior hypertrophy  
                mild cord compression   no edema or myelomalacia seen.
        c3 c4 mild rt foraminal narrowing noted
        c6 c7 mild bilateral foraminal narrowing present
IMpression  cetrnal disc herniation and slight posterior element hypertrophy causing mild cord compression at c5 6.  no cord edeam or myelomalacia is seen  
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
9 98 MRI c3 c4  facet arthropathy (mild) uncovertebral joint hpertrophy is present w/rt sided neural foraminal encroachment.  Very mild end plate spondylotic spur formation is present with slight aattenuation of the cetral and right anterolateral aspect of the thecal sac and cord.
         c4 c5  moderate arthropathy.  very mild end plate spndylotic spur is demonstrated with slight atttentuation of the anterior aspect of the thecal sac.  The cord has a flattened appearance suggestive of myelomalacia.
         c5 c6 moderate arthropathy  Moderate spondylotic spur is demonstrated with attenuation of the central and right anterolateral spect of the thecal sac and cord.  uncovertebral joint hypertrophy with bilateral neural foraminal encroachment.
         c6 c7  mild end plate spondylotic spur formation is present with sslight attenuation of the right anterolateral aspect of the thecal sac. No significant compromise of the cord.
          c7 t1 t2 unremarkable.
Sagittal images reveal intervertrable disc space loss at c5 c6 throught the bottom of c7 These findings are suggestive of myelomalacia.

Current symptoms.   Upon movement neck and shoulders (note inflammation impacts both sides) becomes severely inflamed. neck has swollen with fluid. (to point of straight down from bottom of ear lobes to shoulder.)
Upper arms and shoulders weakness, additional weakness in legs.
strong back and chest pains  similar to heart attack, back pain is both deep and skin feels hot and stings
Note:  previous surgery for l4 l5 s1 fusion w/ ped screws and plates by Philadelphia.  92  Result  chronic acutte denervation l5 s1 rt and chronic partial left side.   Hence I cannot tell if waist down is related to neck.
(btw  DID NOT GET INVOLVED IN THE LAW SUITS)
ADDITONAL SYMPTOMS  FACIAL LEFT SIDE NERVE PROB.  BEGIN AT LFT CHIN NOW INCLUDES THE CHEEK AND CAN FEEL THROUGHOUT THE SIDE OF MY HEAD.  
QUESTIONS:   1.  IS SECOND MRI INDICATIVE OF FUSION  
             2.  WHAT ARE MYELOMALACIA AND HYPERTROPHY
             3.  DOES THE MRI EXPLAIN WHY THERE IS FACIAL NEUROPATHIES?  

I understand this is an info only forum.  any imput would be appreciated.
Thank You   Larry

  




Dear Larry:
1.  There is no intervertebral fusion reported in the second MRI
2.  Myelomalacia means loss of spinal cord bulk and substance from any kind of previous injury, damage, or lesion. This is usually seen as a narrowing of the spinal cord at a particular spinal level, often with changes in spinal cord MRI signal characteristics. Hypertrophy is a term used by radiologists to describe increased bulk of bony or joint elements of the spine. Such hypertrophy can compress upon the spinal cord or the exiting spinal roots.
3.  Your facial symptoms (doubt neuropathy) are not explained by the MRI findings.

Reading your story, it is plausible that you have significant spinal cord and cervical root disease causing your symptoms.

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