Top
30
Doctor insights on: Treatments For Myelomalacia

Share
1

1
What is cervical spondylitic myelomalacia / foraminal stenosis and what if any treatment/for it?

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

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

2

2
Is there a test to determine the difference between a cord myelomalacia and demelinating plaque?

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

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

3

3
I was diagmised with myelomalacia and need to find an experienced surgeon in that field. Don't know where to turn?

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

4

4
Tell me about myelomalacia?

Tell me about myelomalacia?

Imaging finding: Myelomalcia is an imaging term used to describe changes to the spinal cord from an injury. ...Read more

5

5
What is myelomalacia in the cord at the level of c5-c6 disc? How is it treated?

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

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

6

6
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

7

7
I've just been diagnosed with syringohydromyelia and myelomalacia. I have a neurologist + NS that seem baffled about my condition. Any advice please?

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

8

8
What is myelomalacia of spinal cord c4-t1?

What is myelomalacia of spinal cord c4-t1?

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

9

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

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

10

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?

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

11

11
I recently had a cerival mri. Impression:large disc protrusion at c5-6, severe stenosis. Is this myelomalacia?

I recently had a cerival mri. Impression:large disc protrusion at c5-6, severe stenosis. Is this myelomalacia?

No: No, diagnosing myelomalacia on MRI requires signal abnormality within the cord itself, which you don't describe. Chronic compression of the spinal cord could eventually lead to myelomalacia, however. ...Read more

12

12
What to do if I had a cerival mri. Impression:large disc protrusion at c5-6, severe stenosis. Possible 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

13

13
I recently had a cerival mri. Impression:large disc protrusion at c5-6, severe stenosis. Is this a possible myelomalacia?

I recently had a cerival mri. Impression:large disc protrusion at c5-6, severe stenosis. Is this a possible myelomalacia?

Possibly: A large disc herniation with spinal cord compression may cause myelomalacia. Myelomalacia should be visible on your MRI and would be an indication for surgical intervention. ...Read more

14

14
I have cervical myelomalacia I wonder if there is neck exercises that can help this is very painful. My doctor will not do surgery?

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

15

15
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.

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

16

16
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, ?

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

17

17
MRI meaning? Stable severe myelomalacia in the thoracic spinal cord @ T4/T6 & mild diffuse volume loss above & below this level.

MRI meaning? Stable severe myelomalacia in the thoracic spinal cord @ T4/T6 & mild diffuse volume loss above & below this level.

Meaning of scan: Myelomalacia is injury to the spinal cord. It can be caused by Trauma, infection, inflammation, pressure from a disc or bone fragment. Atrophy is shrinkage of the spinal cord as an after effect of old injury ...Read more

18

18
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?

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 cord injury: Your spinal cord is being squeezed probably but not for certain by a disc rupture or boney overgrowth. I f no symptoms I expect you soon will. Surgery is very probable. See a neurosurgeon or orthopedist urgently. ...Read more

19

19
Will inactivity worsen mylomalacia?

No: But the effects of the myelomalacia with be more evident if you are inactive and the abilities may be hard to regain. ...Read more

20

20
What is spondylitic myclomalacia and what can be done?

What is spondylitic myclomalacia and what can be done?

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

21

21
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?

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

22

22
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.

Not really: Headaches are not common with myelomalacia but can happen. Lying flat to relieve them sounds more leak a spinal fluid headache. Make sure you don't have something else going on. ...Read more

24

24
Any new treatments for ed?

Any new treatments for ed?

E.d.: There are many treatments a urologic specialist or a sex therapist can offer but none new recently. ...Read more

25

25
Best treatment for alopesia?

Best treatment for alopesia?

Varies with cause: Alopecia can occur from a variety of causes from hair eating to cause unknown. Treatments vary with the cause. ...Read more

26

26
What treatments will be used?

What treatments will be used?

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

27

27
Treatment of ac. Dacryocytitis?

Treatment of ac. Dacryocytitis?

Antibiotics: Oral antibiotics. Then followed by a dacryocystorhinosty (dcr) when infection resolved. ...Read more

28

28
Is there home treatment for ed?

Is there home treatment for ed?

Yes: Losing weight and increasing exercise is the best home treatment for erectile dysfunction. Have your provider check a testosterone level to make sure it's in good range. ...Read more

29

29
What's a good treatment for ed?

What's a good treatment for ed?

Start with herbal: As long as you don't have cardiovascular problems you can try my favorite "steel libido" from the health food store. If this fails you need to see your physician for medications and other interventions. ...Read more

30

30
What are the treatments for mg?

What are the treatments for mg?

Options: In addition to what dr. Ali has answered, this information link may help: http://goo. Gl/3xxmd to begin, you should have open and clear discussions with your family physician and neurologist. ...Read more