Doctor insights on:
Treatments For Myelomalacia
Definitions of: Myelomalacia or "bad spinal cord" is abnormal tissue structural change of the cord negatively affecting its function brought on in this case by advanced degeneration of the bones, discs, joints and ligaments leading to a narrowing of the spinal canal compressing the spinal cord and creating these cord changes. Surgery is the only help. Foraminal stenosis is narrowing of the nerve root exit holes. ...Read more
MRI: The best imaging approach is via MRI, and a variety of software applications can sort out characteristics of a focal spinal cord lesion. Myelomalacia simply means damage to spinal cord, and is characteristic of trauma, extrinsic compressive lesion, cord infarct due to stroke, and may also be seen in MS, but more severe in neuromyelitis optica. ...Read more
I was diagmised with myelomalacia and need to find an experienced surgeon in that field. Don't know where to turn?
You need to see: Either an orthopedic spine surgeon or neurosurgeon to evaluate the cause of the spinal cord changes to see if there is a surgical solution as to the cause but often once this is seen on an imaging study, the changes are usually not reversible. However, further injury may be prevented if there is evidence of cord compression as the source of the problem. ...Read more
See a neurosurgeon: 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. ...Read more
Intramedullary signal in C5 level s/o focal myelomalacia. What does it mean? Is surgery is the only option.
Myelomalacia: 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. ...Read more
I've just been diagnosed with syringohydromyelia and myelomalacia. I have a neurologist + NS that seem baffled about my condition. Any advice please?
Neurosurgeon: 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. ...Read more
Definitions of: 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. ...Read more
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
Myelomalacia: 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 ...Read more
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?
See another surgeon:
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. ...Read more
I recently had a cerival mri. Impression:large disc protrusion at c5-6, severe stenosis. Is this myelomalacia?
What to do if I had a cerival mri. Impression:large disc protrusion at c5-6, severe stenosis. Possible myelomalacia?
Herniated disc: Not to worry but you should visit a neurosurgeon in the next week for evaluation and treatment. Myelomalacia is swelling or bruising of the spinal cord from the herniated disc. Do not do repetitive lifting and bending (housework/yardwork) until a neurosurgeon sees you because the weakness and numbness could worsen with these activities. Avoid contact sports or jarring exercises (running) too. ...Read more
I recently had a cerival mri. Impression:large disc protrusion at c5-6, severe stenosis. Is this a possible myelomalacia?
I have cervical myelomalacia I wonder if there is neck exercises that can help this is very painful. My doctor will not do surgery?
Cord changes: Myelomalacia refers to changes that have already occurred in the spinal cord. Neck exercise will not change that but it is a good idea to maintain good strength and tone of your neck and arm musculature especially if if there is associated weakness. ...Read more
Can myelomalacia cause neck stiffness, headaches, pain through neck, arms and back? I've had a crick in my neck with all of these symptoms for 6 days.
Neck: Yes. Myelomalacia can cause all of the above symptoms if in the cervical spine region. At upper levels would be less likely to cause arm symptoms than mid to lower levels. Headache would be more common with upper levels. Seeing physician whether neurosurgeon or neurologist would be recommended for anyone with an MRI showing myelomalacia. ...Read more
Mri: sagittal t2 & flair imag, altho less well seen in the axial plane, is increas signal wthin c5-c6 cervical cord, perhaps an area of myelomalacia, ?
Myelomalacia: That means that there may or may not be an area of subtle change which may represent myelomalacia in your cervical spine at the c5/6 location. Myelomalacia if present can signify injury that is ongoing or had been there in the past. Only a history and neurological exam can determine if this 'finding' (if any is actually there) is of any clinical relevance. Please be evaluated by a spine surgeon. ...Read more
MRI meaning? Stable severe myelomalacia in the thoracic spinal cord @ T4/T6 & mild diffuse volume loss above & below this level.
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?
Cervical myelopathy: Cervical spondylotic myelopathy is a spinal cord disorder that affects older patients. Spondylosis refers to the degenerative changes that occur in the spine which leads to stenosis, this can cause myelopathy (compression of the spinal cord/nerves). Symptoms can include pain/numbness/weakness gait abnormalities. Depending on the severity surgery may be recommended. Discuss with neurosurgeon. ...Read more
Focus of hyperintense t2 and t1 signal with suppress on the stir sequence in t2 veterbral suggestive of island of fatty marrow? Same as myleomalacia?
No: Myelomalacia is a term that is used to refer to the spinal cord itself. It refers to some degeneration of the spinal cord. What you are describing is in the bone of the vertebral body. This is a different condition. It may represent fatty marrow-usually a benign variant. ...Read more
I have cervical spinal stenosis and mylomalacia. Always after a few hrs of activity I get headaches and have to lay flat. Is this common.
An array.: Interventional pain management treatments is not limited to the spine, however the spine is a particular pain producing area. For example, for back pain sufferers, interventional pain management techniques can be particularly useful. In addition to a thorough medical history and physical examination, interventional pain management physicians have a wide array of treatments that can be used. ...Read more