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

Hello,

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 cause is disc herniation.

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

i suggest a surgery.

Follow up with a spine surgeon is advised.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Muhammad Shoyab

Experience: 14 + Yrs

Radiodiagnosis

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