I am a 53 year old woman being evaluated for unexplained seizures and other neurological symptoms which include neck pain, left arm weakness, head tremors, (small forward motion head bobbing) one sided hand tremors. I have a 3 year history of unexplained fixed abdominal pain, severe distention,diarrhea and most recently a partial bowel obstruction. Though evaluated of all types of tumors. The final dx is Functional bowel disorder affecting motility. I also have autonomic dysfunction presenting as bowel dysfunction, high and low blood pressure, bradycardia at times, episodic cognitive issuesI have episodic incontenence. I also am experiencing nausea, vomiting in the morning along with occasional double vision. Typically this happens in the morning. Until a recent fall I would say that I had little neck pain.
I was contacted by the neurology nurse and it appears that she seemed more concerned with my C spine results then my brain scan. The results are as follows:
Alignment: There is subtle loss of anticipated cervical lordosis. Minimal grad 1 retrolisthesis of C5 and 6.
Discs: There is multilevel degenerative loss of intervertebral disc height and hydration throughout the cervical spine most pronounced spanning C4-5 through C6-7, with associated posterior disc bulging, detailed further on level wise analysis below.
C3-4 Disc osteophyte complex and uncovertebral joint hypertrophy resulting min minimal effacement of the ventral CSF without significant compromise of the central spinal canal. Neural foramina are patent. Mild facet arthropathy is present.
C4-5 Dis bulging, osteophyte formation and uncovertebral joint hypertrophy resulting in minimal effacement of the ventral CSF, without significant compromise of central spinal canal. There is mild left neural foramina narrowing related to unconvertebral joint hypertrophy and facet arthropathy. Right neural foramen is patent. Mild facet arthropathy is present at this level.
C5-6 Posterior disc bulging osteophyte formation and uncovertebral joint hypertrophy contribute to mild arrowing of the central spinal canal with mild flattening of the cervical cord at the disc level, without definite cord signal abnormality. A small central disc extrusion demonstrates canal ligamentous extension, resulting in mild mass effect on the cord below the disc level. There is mild to moderate left and mild right neural foramina narrowing related to uncvertebral joint hypertrophy and mild facet arthropathy.
C6-7 Posterior disc bulging, osteophyte formation, and uncovertebral joint hypertrophy resut in mild effacement of the ventral CSF without contacting the cord or significant compromise of the central spinal canal. Mild bilateral facet athropy is present at this level. There is mild narrowing of the left neural foramen on the basis of unconvertebral joint hypertrophy and facet artropath. Right foramen is patent.
C7- T1 Patent spinal canal and neural foramina
Aside from the obvious, osteoarthritis, and poor condition of my C spine, and since I don't understand the big words that are being use I am not sure how serious this is. Is is possible that my C spine is causing my gastrointestinal symptoms,vomiting, autonomic problems and painful distention.
Thank you, CWhat is Cervical Radiculopathy?**********************************
No one on the Spine-Health patient forums is medically qualified to provide any advice or recommendations on any diagnostic test. However, the following key words can always be applied.
MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.
MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't help
SEVERE Need for stronger medications. The requirement for surgery may be necessary