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Suffering from the symptoms of Spinal cord compression - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   My 28 year old brother is scheduled for C5/C6 Disc replacement surgery. His MRI revealed a bone growth and severe arthritis. He has no history of major injury or related hospitalizations. What is causing this problem? He is experiencing chronic fatigue, migraines, shortness breath, hypertension, palpitations, weakness, collapsing, and additional symptoms.
User :   Hi
Doctor :   Can you tell me a little more details about the bone growth from the scan report
User :   He has an MRI done and he said the doctor's didn't tell him much. His reflexes were off - foot turned inward when bottom of his foot was scraped. He is walking funny.
Doctor :   this happens when the spinal cord is compressed by the diseased discs and the bone growth
User :   His words: My health seemed to further deteriorate increasingly fatigued walking around, syncope episodes, and would walk around, and just collapse for no reason. I can't stand for too long anymore without feeling like i'm going to pass out or actually pass out on the floor. i've blacked out going up and down stairs.
User :   he says he has loss of sensation, numbness, loss of circulation and hands/feet turning bluish color.
Doctor :   yes, most of hisd symptoms are typical to a spinal cord compression , but some like syncope , palpitation , shortness of breath have to be studied more along with the type of the bone growth it is ( Malignancy ? )
User :   Glad you said that. Should the spinal replacement surgery be the first line of action? He has military doctors who were telling him his symptoms are psychosomatic.
Doctor :   no, i consider the psychosomatic to be the last chance
Doctor :   as the MRI is clear and the symptoms are typical of spinal cord compression , surgery is the main stay
User :   He pants or gets winded when walking brief periods of time, sleeps 20 hours per day. Walks like he is 80 years old. He is not overweight. BMI max is 25 or less.
Doctor :   does he feel pins and needles sensation over the limbs ?
User :   I believe he mentioned that. said it comes and goes and temporary paralysis.
Doctor :   ok,it adds to the diagnosis
Doctor :   i would like you to ask his doctor about the kind of bone growth ?
User :   I will check (or have him check) with his doctor. It sounds like they will investigation on the day of the surgery. They plan to do a spinal tap the same day. Is he too young for this surgery? Other options?
User :   he thought he heard spur.
Doctor :   no, people much young also go through these surgeries with good recovery
User :   The doctor said the rest of spine was bad but not bad enough for surgery. Also, he saw arthritis. Can this be autoimmune? These symptoms started a year ago.
Doctor :   arthritis alone can be autoimmune but i still have to make clear about the growth if its a malignancy then the arthritis would be a secondary symptom to malignancy
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