Today, October 14, 2009 woke up with both hands tingling. My head is swimming. Yeah makes lots of sense huh. My right knee is hurting and my tailbone feels like its on fire. I have no idea what all of this means but its really strange. I’m trying to stay strong and positive through all this but I’m getting scared and confused. My PCP called yesterday with an appointment for me to get a MRI of the rest of my spine. How will this affect my situation? Will it make the decision of surgery even more difficult for me? Will it change my Neurosurgeon’s course of action? There are so many variables in this equation. Oh, and now I have to have a sleep study to rule out Sleep Apnea and another EEG to make sure the seizures are gone for good before surgery. So much fun.
Here are the reports from the MRIs I’ve had done
MRI, CERVICAL SPINE OCTOBER 1, 2009 @ SW OK MRI
Intervertebral Discs: Disc desiccation is present at C3 through C7 with anterior and posterior disc protrusions at C3-4, C4-5, C506, C6-7 levels. Broad-based eccentric right paracentral soft disc protrusions are present at C4-5 and C6-7 levels with predominantly central soft disc protrusion at C5-6.
Uncovertebral Joints, Facet Joints and Foramina: Negative for facet joint hypertrophy. There is mild right and minimal left neural foraminal narrowing at C3-4 and C4-5 levels with moderate left and mild right neural foraminal narrowing at C5-6, moderate right neural foraminal narrowing with soft disc protrusion which abuts the exiting nerve root on the right at C6-7 with mild left neural foraminal narrowing at C6-7 and minimal left foraminal narrowing at C7-T1.
Vertebrae: Well-maintained. Specifically, there is no evidence of compression, subluxation, or marrow replacement.
Spinal Configuration: Straightening of the lordotic curvature with slight reversal of curvature at C4 through C6.
Epidural Space: A broad-based central disc protrusion posteriorly displaces and slightly effaces the spinal cord at C5-6 creating severe central canal stenosis but no cord compression. A large right paracentral soft disc protrusion creates posterior leftward displacement of the spinal cord and severe central canal stenosis without compression. There is mild central canal stenosis at C4-5 and minimal central canal stenosis at C3-4.
Cord and Cerebellar Tonsils: 0.6 cm left cerebellar tonsillar herniation is present with .05 cm right cerebellar tonsillar herniation. The visualized portion of the brain stem and cerebellum are otherwise within normal limits and visualized portion of the spinal cord grossly normal with no compression or abnormal signal.
0.6 cm Chiari I Malformation
Broad- based central disc protrusion posteriorly displaces the spinal cord and effaces the spinal cord without creating cord compression. It creates moderate left and mild right neural foraminal narrowing with severe central canal stenosis at C5-6.
A large right paracentral soft disc protrusion abuts the exiting right nerve root and creates posterior leftward displacement of the spinal cord without compression. It creates moderate right and mild left neural foraminal narrowing with severe central canal stenosis at C6-7.
Eccentric right soft disc protrusion creates mild right and minimal left neural foraminal narrowing with mild central canal stenosis at C4-5.
Mild right and minimal left neural foraminal narrowing with minimal central canal stenosis is present at C3-4.
Minimal left neural foraminal narrowing is present at C7-T1.
MRI CERVICAL SPINE MAY 25, 2006 OU MEDICAL CENTER
There is approximately 7 to 8 mm cerebellar tonsillar ectopia. The cerebellar tonsils are mildly triangulated rather than rounded, however, there is no evidence of narrow penciling of the cerebellar tonsils. Cineflow imaging demonstrates normal diphasic flow along the anterior aspect of the medulla. There is also normal diphasic flow demonstrated within the fourth ventricle. There is some flow demonstrated posterior to the medulla, however, this flow is somewhat attenuated.
The vertebral bodies of the cervical spine demonstrate normal height and marrow signal throughout the cervical spine. There is straightening of the normal cervical lorded. Multilevel degenerative disc disease is demonstrated as detailed below:
At C3-4 there is a broad-based disc osteophyte complex, which effaces the ventral aspect of the thecal sac.
At C4-5 there is a broad-based disc osteophyte complex. There is also a superimposed right paracentral disc protrusion, which mildly effaces the right neuroforamen.
At C5-6 there is another broad-based disc osteophyte complex with central protrusion which narrows the AP canal diameter to 7 or 8 mm.
The cervical spinal cord demonstrates normal caliber and signal characteristics throughout. There are no T2 signal abnormalities. There is no evidence of syrinx formation. The paraspinal soft tissues are grossly unremarkable in appearance.
Chiari-type I malformation 7-8mm
There is normal diphasic flow demonstrated anterior to the medulla and within the fourth ventricle, however, flow posterior to the medulla is somewhat attenuated.
Multilevel degenerative spondylosis is demonstrated. This results in acquired spinal stenosis at the level of C5-6 where the AP canal diameter measures between 7 and 8mm