Question 1

What is cervical spondylitic myelomalacia / foraminal stenosis and what if any treatment/for it?

Accepted Answer

Cervical spondylosis refers to chronic calcium build-up and remodeling of the bone in the neck from severe degenerative arthritis. Myelomalacia means "softening" of the spinal cord inside affect vertebra due to the chronic pressure from these calcium spurs. Foraminal stenosis means narrowing of the space in between vertebra through which the nerves pass. The treatment is decompressive surgery.

Question 2

Is there a test to determine the difference between a cord myelomalacia and demelinating plaque?

Accepted Answer

I deal with this alot with my ms patients that also have spine arthritis.  If there is compression from disc bulges or stenosis and there are spinal cord changes on imaging and they are symptomatic i consult with the neurologist and usually recommend surgery.  A finding on imaging without any arthritis in the area could be considered likely from ms.

Question 3

I was diagmised with myelomalacia and need to find an experienced surgeon in that field. don't know where to turn?

Accepted Answer

The term myelomalacia refers to an abnormality if white matter, and this may be in the brain or spinal cord. It's a very general term. The underlying cause is important to determine, in order to decide what, if any, treatment is appropriate.

Question 4

Tell me about myelomalacia?

Accepted Answer

Myelomalcia is an imaging term used to describe changes to the spinal cord from an injury.

Question 5

What is myelomalacia in the cord at the level of c5-c6 disc? how is it treated?

Accepted Answer

Usually this is caused by an old or active injury to the spinal cord. Most common cause is from a disc herniation/bulge. Subtle signs of spinal cord compression are fine motor skill problems of the hands such as difficulty with buttoning buttons and also mild difficulty with walking. You should go see a neurosurgeon to help decide if there is active compression.

Question 6

Intramedullary signal in c5 level s/o focal myelomalacia.what does it mean?is surgery is the only option.

Accepted Answer

Myelomalacia is the end damage findings on mri.  No surgical treatment for this type of damage is available. If the cause of the damage is a herniated disc or bone spur (osteophyte) still compressing the spinal canal or spinal cord itself, surgery can be performed to prevent further damage.  Please discuss the difference with your surgeon.

Question 7

I've just been diagnosed with syringohydromyelia and myelomalacia.  i have a neurologist + ns that seem baffled about my condition.  any advice please?

Accepted Answer

Certain syringohydromyelia cases require no treatment, but since you have spinal cord abnormalities, it's most important that you are evaluated and advised by a skilled neurosurgeon who has experience with this type of problem.

Question 8

What is myelomalacia of spinal cord c4-t1?

Accepted Answer

Myelomalacia or "bad spinal cord" is abnormal tissue structural change of the cord negatively affecting its function brought on by several causes but most times due to degenerative changes when involving multiple levels leading to narrowing of spinal canal compressing the spinal cord and creating these cord changes. Surgery is indicated if there is evidence of cord compression to prevent worsening.

Question 9

Is it possible for "myelomalacia" read on an mri to be an ms plaque? what is the difference between such a finding being read as myelomalacia vs. tra

Accepted Answer

is not a specific disease but can result from a variety of factors.  Literally "softening of the cord", it is focal decreased size or shrinkage of the cord accompanied by signal abnormality.  It is caused by damage or insult to the cord such as from trauma, hemorrhage, vascular insufficiency, etc... In a relatively small percentage of MS cases(usually long standing), it can be present

Question 10

Had surgery on t11 t12 and since 1st surgery had to be stopped due to loss of movement now have myelomalacia what can i do?

Accepted Answer

If you had difficulties from your surgery, you should get a second opinion about treatment options.  Clearly your legs are weak and myelomalacia (atrophy of the spinal cord) is a difficult problem to treat.
You should seek another opinion about your condition by a board certified neurosurgeon in your area. 
If there's not one close, i'd suggest 
mark pichelmann, md at mayo clinic, jacksonville, fl.

Treatments for myelomalacia

What is cervical spondylitic myelomalacia / foraminal stenosis and what if any treatment/for it?

Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

HealthTap doctors are based in the U.S., board certified, and available by text or video.

Is there a test to determine the difference between a cord myelomalacia and demelinating plaque?

I was diagmised with myelomalacia and need to find an experienced surgeon in that field. don't know where to turn?

Tell me about myelomalacia?

What is myelomalacia in the cord at the level of c5-c6 disc? how is it treated?

Intramedullary signal in c5 level s/o focal myelomalacia.what does it mean?is surgery is the only option.

I've just been diagnosed with syringohydromyelia and myelomalacia. i have a neurologist + ns that seem baffled about my condition. any advice please?

What is myelomalacia of spinal cord c4-t1?

Is it possible for "myelomalacia" read on an mri to be an ms plaque? what is the difference between such a finding being read as myelomalacia vs. tra

Had surgery on t11 t12 and since 1st surgery had to be stopped due to loss of movement now have myelomalacia what can i do?

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Treatments for myelomalacia

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