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What Causes Left-sided Pain In Head And Stabbing Neck Pain After Cervical Fusion?

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Posted on Mon, 30 Nov 2015
Question: In march of this year, i had emergency cervical fusion performed at level c5, 6 and 7. Most all of my symptoms concerning arms and legs have significantly improved. However, i continue to have feelings of shortness of breath, extreme shooting/stabbing pain up the left side of my neck into left side/back of head exaggerated upon looking down, spasms along the very outer left edge of left masseter muscle and very strange sensations around my outer left ear.

Upon mentioning these issues at my 8 week follow up with neurosurgeon, he said although some of the muscle spasms and tightness could possibly produce these symptoms, he couldnt say for sure because what i was describing in his opinion was gettig into level of c3. He gave me an 18 month recovery window and instructed to follow up of needed.

I am going to follow up next week, as the back left head pain around occipital seems to be getting worse.

I am attaching three images done prior to my surgery. I do note there does appear to be a slight small protrusion around c3-4 level. I would also like to note i am supine in these images as well as straining to keep my neck in a certain position during this mri due to the extreme pain any pressure of straightening my neck put on c5-7, so i believe had my neck been mechanically cooperative, therevis s possibility the protrusion at c3-4 wouldve looked a little more obvious.

Is this something i need to keep on my neurosurgeon about until it is addressed? The only other avenue i could remotely attribute to these strange feelings would be my thyroid. I do have nodules there, but i believe the possibility of all of this tied to the thyroid is slim.
doctor
Answered by Dr. Neeraj Kumar (30 minutes later)
Brief Answer:
Get your Mri reviewed and consult a physician too

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.

What was the event leading to surgery? Any history of trauma?
The disc prolapse was significant at C6-7 level and definitely required surgery at that moment.
You also improved to much extent post surgery regarding neurological involvement.
In the last image uploaded ending with 225 is a coronal view with possibly swelling just below mastoid region in soft tissue on left side.
What is the reporting of Mri?
You can ask your neurosurgeon to have a look at the Mri image particularly coronal section and soft tissue region.
You should also get a consultation from a physician who can examine you regarding Thyroid nodules and palpate sub mandibular lymph nodes.
Any abscess or collection in soft tissue may cause pain and spasm.
Review your imaging?
You can upload more images and report for more analysis.
The prolapse at C3-4 level doesn't seem to be of much relevance.

Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (21 minutes later)
Ok, thank you so much! I don't really remember anything which led to this, only that the neurosurgeon said i definitely suffered some type of trauma. I only woke up with at first what felt like a "crick" in my neck, followed in a matter of days by severe limited movement and coordination of both arms and legs. The area you referenced in coronal section seems to be the most significant source of my pain. Is this consistent with muscle injury? I do have what feel like solid "grapes" (i guess these are referred to as knots), all down the left side of my neck beginning right under left occiput and traveling all along levator scapulae, sternocleidastoid, scalenes and trapezius. All of this is in conjunction with elevated totalwbc, specifically neutrophils.
doctor
Answered by Dr. Neeraj Kumar (30 minutes later)
Brief Answer:
Get an ultrasound neck and consult a physician

Detailed Answer:
Hello,
If you have multiple nodular swelling with raised TLC then possibility of infection and lymph node swelling may be considered.
It will be better if you once consult a general physician who examines and evaluate you accordingly.
You may also need ultrasound of neck and adjoining soft tissue.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (30 minutes later)
Ok, i will do that as well as discuss during follow up with neurosurgeon next wee. The only other images i have are as follows:k
doctor
Answered by Dr. Neeraj Kumar (8 minutes later)
Brief Answer:
Discuss with your neurosurgeon with Mri films and reports

Detailed Answer:
Hello,
It is difficult to analyse these images as continous section are required to look for any tilt or abnormalities.
Get it discussed with your neurosurgeon, get a physician consultation and get an ultrasound neck if needed.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Neeraj Kumar (9 minutes later)
Ok, thanks so much for your help, now i know better what questions to ask and stop focusing on the c3-4 disc.
doctor
Answered by Dr. Neeraj Kumar (5 minutes later)
Brief Answer:
Hoping you get well soon

Detailed Answer:
Hello,
Wishing you good health.
Hope you get well soon.
Do get back with follow up visit later.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Causes Left-sided Pain In Head And Stabbing Neck Pain After Cervical Fusion?

Brief Answer: Get your Mri reviewed and consult a physician too Detailed Answer: Hello, I have gone through your question and understand your concerns. What was the event leading to surgery? Any history of trauma? The disc prolapse was significant at C6-7 level and definitely required surgery at that moment. You also improved to much extent post surgery regarding neurological involvement. In the last image uploaded ending with 225 is a coronal view with possibly swelling just below mastoid region in soft tissue on left side. What is the reporting of Mri? You can ask your neurosurgeon to have a look at the Mri image particularly coronal section and soft tissue region. You should also get a consultation from a physician who can examine you regarding Thyroid nodules and palpate sub mandibular lymph nodes. Any abscess or collection in soft tissue may cause pain and spasm. Review your imaging? You can upload more images and report for more analysis. The prolapse at C3-4 level doesn't seem to be of much relevance. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr Neeraj Kumar Neurologist