Hi. I'm so new, I did a post and I can't find it again! I am seeing a neurosurgeon for a consult next month, I have no idea what they will say, they want to see me as they have just looked at my mri. I thought I would start my research early with experienced patients before I have the fun of some sort of procedure. I am a 45 year old very active male, have had overuse issues with my neck for years as a professional musician, but now I am having pins and needles, numbness in my right hand, forearm, bicep and under the shoulder blade along with neck pain and headaches. Thought it was the sinuses, but a revision surgery this last May failed to cure the headaches, although I did need the surgery for the blocked frontal sinus part, at least. I'm in the initial phase of trying to solve this, dealing with the pain, trying to see the proper people, etc. I'm thinking I can post my mri info and someone here will probably know what I am going to hear from the neurosurgeon. I'm thinking foraminotomy, but I haven't seen the films and I'm no doc, I just pretend to be one after a little internet research. I'll be back to post more when I have some actual information. Thanks for help way, way in advance, and do have fun with my new game I'm calling "Let's Guess The Procedure"!!! (It's my goal to retain my sense of humor until the last possible moment..)
Findings: Cervicomedullary junction appears normal. Cervical spinal cord is normal signal intensity and contour. There is a mild cervical kyphosis.
C3-4 Mild disc desiccation. No focal disc herniation or stenosis
C4-5 Mild disc space narrowing and degeneration. Mild bilateral facet arthritis. There is a very small left paracentral disc bulge without apparent root cord compression.
C5-6 Moderate disc space narrowing and degeneration with marginal osteophyte formation. There are Modic Type 1 changes of the endplates indicating edema. There is a very mild retrolisthesis of C5 on C6 of 1-2 mm. Mild bilateral facet arthritis. Best appreciated on the oblique foraminal views is moderate right foraminal stenosis with compression of the exiting right C6 nerve root. This appears to be secondary to a chronic disc/osteophyte complex.
C6-7 Moderate disc space narrowing and degeneration. There is bilateral facet arthritis. Asymmetric left foraminal osteophyte is associated mild left foraminal stenosis.
C7-T1 Normal disc space level
Impression: Degenerative disc changes C5-6 with Modic type 1 changes indicating edema. Disc/osteophyte complex is associated with right foraminal stenosis and compression of exiting right C6 nerve root. Degenerative disc and facet changes at additional levels as noted.