Patient's Query
Hi doctor,
My MRI results are as follows: Loss of normal cervical lordosis due to paraspinal muscle spasm. Mild posterior disc herniation noted at C3, C4, C4-C5, C6-C7 causing mild compression over ventral thecal sac. Mild right posterior paracentral disc herniation at C5-C6 indenting thecal sac. Small slit like CSF (cerebrospinal fluid) intensity noted in central aspect of spinal cord at C5-C6.
Hi,
Welcome to icliniq.com.
Sorry to have known that small CSF-like intensity at C5-C6 is probably called a syrinx which can occur without a cause, due to tuberculosis or after a trauma. The disc protrusion seen at C3-C4,C4-C5 and C6-C7 are non significant. Do you have history of trauma or TB spine? What are your symptoms for which you got the MRI done? In my advise the syrinx at C5-C6 should be monitored yearly and you should be in regular consultant with a neurosurgeon and if ever you get symptoms of back pain, urinary problems, constipation then contact neurosurgeon immediately.
Regards.
If you have any other doubts, feel free to contact.
Patient's Query
Hi doctor,
The reason for MRI is I am experiencing pain in my left arm and especially the front shoulder area. At night it intensifies, sometimes pain sensation into the jaw, temple, and left side of the underarm. I do not have TB.
Tablets prescribed: Proxen 500 mg and Sirdalud (Tizanidine) 2 mg, physiotherapy, and medicated pillow.
Hi,
Welcome back to icliniq.com.
So the only thing I wish to know is, since how long have the symptoms been going on? Is there any weight loss that was unintended? If the pain intensifies at night, you need to get your left brachial plexus imaging and check any compression or left shoulder imaging (MRI) because the MRI Cervical spine does not give any definitive diagnostic clue about your diagnosis. Have you met a Neurologist in person? Is there any loss of power or decreased power, or numbness in the left hand?
Patient's Query
Hello doctor,
Yes, I have seen a neurologist hence going for the MRI. I mentioned in my first and second message about the physiotherapy and prescribed tablets. The pain started three months ago in my arm lifting weights. Although a few years ago, occasionally, I had issues with my neck, it stopped. No weight loss. I have seen two different neurologists in person. We also took an X-ray of my arm, but nothing appears to be out of sorts. Yes, my left arm strength is not that great, and I am experiencing a decrease in power. I cannot move the arm in certain positions at times.
Hi,
Welcome back to icliniq.com.
I read your reply, and actually, I wanted to rule out a brachial plexus lesion. A brachial plexus is a group of nerves that are located in our underarm way beneath the skin. If there is a minor decrease in the power of the left hand, and it is there all the time, I would advise you to get the brachial plexus study with contrast as well, because getting MRI, again and again, is a task. Brachial plexus lesions are at times painful also. Please let me know if you have any further questions.
Best regards.
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Answered byDr. Gursimran Singh
Medically reviewed byiCliniq medical review team
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