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What causes cervical spondylosis

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Posted on Mon, 11 May 2015
Question: This is a follow-up question about my mother who is suffering from Cervical Spondylosis with variable disc dessications, narrowed C4/C5/C6 disc spaces & few pivds. Dr. Olsi Taka had advised to get some further tests done to narrow down on the problem of dizziness and falling unconscious. I am attaching the report for NGO neck scan in the profile for the doctor to review. Kindly advice.
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Answered by Dr. Olsi Taka (4 hours later)
Brief Answer:
Read below.

Detailed Answer:
Thank you for following up with the report from the CT of neck vessels.

The result is actually pretty good her arteries seem to be in a good condition, her vertebral arteries whose narrowing could cause the dizziness and falls are described as normal. There is a plaque in her right carotid but that doesn't cause any significant narrowing and is not related to her symptoms.

So since a vasogenic (related to blood vessels) component has been excluded by this CT and the previous MRI, it leaves us with the neurogenic component which is very common in patients with cervical spondylosis, not always well explained, though to be due to dysfunction of posterior nerves in the neck due under degenerative changes of the spine. In that case the best care is the physical therapy which she had already started.

Of course as a diabetic patient I am assuming that the possibility of metabolic changes due to blood sugar fluctuations have been excluded by her doctors.

I remain at your disposal for further questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3667 Questions

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What causes cervical spondylosis

Brief Answer: Read below. Detailed Answer: Thank you for following up with the report from the CT of neck vessels. The result is actually pretty good her arteries seem to be in a good condition, her vertebral arteries whose narrowing could cause the dizziness and falls are described as normal. There is a plaque in her right carotid but that doesn't cause any significant narrowing and is not related to her symptoms. So since a vasogenic (related to blood vessels) component has been excluded by this CT and the previous MRI, it leaves us with the neurogenic component which is very common in patients with cervical spondylosis, not always well explained, though to be due to dysfunction of posterior nerves in the neck due under degenerative changes of the spine. In that case the best care is the physical therapy which she had already started. Of course as a diabetic patient I am assuming that the possibility of metabolic changes due to blood sugar fluctuations have been excluded by her doctors. I remain at your disposal for further questions.