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HomeAnswersRadiologycervical myelopathyDoes my MRI report suggest compressive myelopathy due to disc herniation?

Can compressive myelopathy due to disc herniation cause pain and numbness?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 11, 2022
Reviewed AtMay 22, 2023

Patient's Query

Hello doctor,

Kindly review and interpret my MRI scan report.

Thank you.


Welcome to icliniq.com.

I understand your concern.

I have reviewed your reports (attachment removed to protect the patient's identity). The main cause of the numbness of your fingers is compressive myelopathy at C4 and C5 level due to disc herniation. It means that a part of the intervertebral cartilaginous disc at this level has squeezed out of its normal position and is pressing on the spinal cord. The pressure on the cord is strong enough to produce signal changes and contrast enhancement within the spinal cord itself, indicating that there is a swelling of the cord's cells and a shortage of blood supply. The matter is quite significant and serious and would require surgery without any delay. There is similar disc herniation at C3 andC4 levels and C5 and C6 levels with spinal cord compression. However, they have not progressed to internal changes within the cord. These discs may also require surgery. I suggest you consult a spine surgeon or neurosurgeon and proceed accordingly.

I hope this helps.

Thank you.

The Probable causes

The probable cause is disc herniation.

Probable diagnosis

The probable diagnosis is compressive myelopathy at C4 and C5 level due to disc herniation. Spinal cord compression at C3/C4 & C5/C6 levels, due to disc herniations

Treatment plan

i suggest a surgery.

Regarding follow up

Follow up with a spine surgeon is advised.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Shoyab
Dr. Muhammad Shoyab


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