Doctor insights on:
Extensive Neural Myelination Allows
Need MRI interperation. Increased signal enhancing expansile spinal cord at c5/c6 and minimal extra medullara intradural/dural enhancement left ventralspinal canal c3/c4
Need iimages: Very difficult to interpret the meaning of that report without seeing the images, and without knowing why the study was obtained. Depending on severity, could be artifact (not significant). Transverse myelitis (inflammation of the cord) can also have such findings, but that would correlate with serious neurologic symptoms. Other conditions of the spinal cord also could cause such MRI findings. ...Read moreSee 1 more doctor answer
L4/5 marked diffuse disc bulge with bilateral encroachment on both neural exit foramina and spinal canal diameter compromise. solutions without OP?
Good question: I wish I could remember. When I have a question about that, I get out my old anatomy book from med school and look it up. The book is 1100 pages long. I refer to it frequently when I want to relearn what peripheral nerve innervates what structure. For laypeople I recommend Frank Netter's Atlas of Human Anatomy. It's available from Amazon. ...Read moreSee 1 more doctor answer
My MRI shows focal myelomalacia involving the cervical cord at C5-C6. Severe spinal cord stenosis at C3-C4. Subtle cortical edema inferior to the sten?
Brain MRI is fine.MRI of whole spine showing supecious intramedullary hyperintensities in cord posterior to bodies of D6 to D8.
This is a: nonspecific abnormality that can be associated with a variety of demyelinating processes including MS. There are usually changes in the brain as well, but not always. Your doctor will interpret these findings in the context of your clinical/laboratory picture. ...Read more
Is there an autoimmune disease of the CNS or spine that targets tissue in nerve sheaths, leading to weakening of the sheath, tumor formation in the sheath, and episodic worsening of nerve impairment?
CT/capsule endoscopy: Ct or ct enterography will allow you the best global picture of everything in the abdomen. Ultrasound can show solid abdominal organs but is limited evaluating air containing structures like large/small bowel. For direct visualization of the mucosa, capsule endoscopy (small cameral you swallow) may work. It all depends on the clinical indication. ...Read more
"microsurgical reconstruction of the infraorbital nerves". Mozsary pg, middleton ra. Damaged nerve. 6 cases of full reocver in 7 patients. Possible ?!
Nerve Reconstruction: It depends on what the cause of the original nerve damage was. Ophthalmologists can do wonders these days, so i would certainly suggest making an appointment and get an opinion. The authors report on successful reconstruction in cases where the nerve was intact, but trapped by scar tissue. Your case may or may not be similar, so it is best to undergo a complete evaluation. ...Read more
No: Binaural beats have been studied for decades by neurophysiologists for clues to how the brain processes sensory input. Studies I've seen suggest that they MAY elicit transient alterations in some aspects of mood or cognition. I've seen NOTHING to substantiate the ludicrous claims made by the binaural-beat lunatic fringe on YouTube etc., whose enthusiasm far outstrips their understanding. ...Read more
Trying to understand MRI results of severe central canal and bilateral foramnal stenosisat L3-L4 and L2-L3 with compression of caudal nerve roots?
HNP &/or bony spurs: Central spinal canal stenosis and/or neural foramina stenosis is usually due to disc herniation or bulge, degenerative bony hypertrophic changes, congenital spinal stenosis or any combination of these factors. Trauma and Tumors would be special cases. You do not say what is producing the encroachment. Bony changes come with age, wear and tear. Disc disease can occur at any age. ...Read more
Will lumbosacral plexus mr neurography provide data to diagnose nerve damage caused by: intradural lesion at l4, 1.5 CM tarlov cyst at s-2, and damage from mini-arc bladder sling and partial removal?
Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces
Prefer no surgery: Sounds like a fairly large disc protrusion, but if no progressive muscle weakness, atrophy or bladder involvement, might be able to get conservative PT, stretching, exercise, acupuncture, and try to allow disc to desiccate and shrink, which it may well do over 8-9 months. Key issue is presence or absence of neurological involvement. Steroids may help. ...Read moreSee 1 more doctor answer
Degenerative changes of the lumbar spine with moderately severe narrowing of L4 L5 neural foramina?
Spine degeneration: You may already know this, but degeneration simply refers to aging changes in the spine which occur in all of us - disc narrowing and dessication, spinal joint arthritis, bone spurs, etc. The significance of narrowed foramina (also caused by aging changes) is that nerves can get pinched in the area of narrowing, and pinched nerves can result in leg pain. Talk to your doc about treatment options. ...Read moreSee 1 more doctor answer
Hip -focal 3 mm full-thick hyaline cartilage defect involving the superiolateral acetabulum that partially undermines the superiolateral labrum??
Mri test shows loss of spinal height & signal spinal stenosis narrowing of spinal canal diffused disc bluge in contact with thecal sac neural formina narrowed bilatery what treatment do you recommend?
Hi,,impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?
Sounds like a fairly: Typical read for a male over 50 years old. Many findings are normal for age and sex as described here. They may not be related to symptoms or may cause symptoms. That is why a careful history and physical exam must be done in conjunction with imaging studies to fully assess the issues presented by the patient. ...Read more
Need help interpeting my husbands MRI results disc protrusion with stenosis c4-c5above fusion increased signal enhancing expansile spinal cord c5-c5 and minimal extra medullary intradural/dural enhanc?
Need intervention: You detail an issue with the cervical spinal canal and spinal cord, and one might wonder as to whether there is ongoing spinal cord compression, but the outer enhancement may represent an area of arachnoiditis or scarring. Based on description cannot easily exclude area of infection or even epidural arteriovenous malformation, but location is atypical. Seek experienced neurosurgeon. ...Read moreSee 1 more doctor answer
Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?
Fairly common: Description for imaging by age 30 relating more to age relatd degenerative changes particularly at the lower two disc spaces ascwell as involving the small joints or articular processes of the back with two facet joints found at each disc level. This can be further affcted if one smokes ;/or obese. Genetics also play a role while ther is mixed data as to other possible environmental causes. ...Read more
"Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?"
Varies : Increased sclerosis on the articular processes throughout the spine is another way to say you have diffuse arthritic changes in you spine. The end plate irregularity is harder to say without seeing the film, it can also represent a change seen in arthritis, but can also represent a fracture or even be seen in an infection of the vertebrae. You should see your doctor to go through it with you. ...Read more