70 yr old male bedridden for last 1 month with spastic progressive quadriparesis with decreased sensation below c4.Diagnosis.Management?
C5-6 disc with compression of theca , the cord is compressed with myelomalacia Already developed quadriparesis. What about the bowel and bladder functions. If intact early surgery but in view of cord compression and myelomalacia the prognosis is unpredictable .
Myelomalacia secondary to chronic compression at C5-C6. Thorough neurocharting, emg-ncv to document, since progressive quadriparesis, warrants surgery in form of decompression.
Compressive myelopathy at c456 level anterior decompression Degenerative disc ? Tuberculosis with abscess
Their is definitely cord compression at c4 EMG Opinion of orthopedic Laproscopic repair & platting
C5/6 disc bulge Cord compression Myelomalacia of cord Anterior cervical discectomy and fusion Neurological recovery not assured
Disc prolapse with cord compression with secondary changes
1.no comorbidities r mentioned.then y not sx 2.hw does bladder change d mx
cervical spondylitis. compression on the spinal cord at c 5 / 6 level. .
Disc osteophyte complex at C5-6 level causing significant cord compression at this level. Focal T2 hyperintensity noted in spinal cord at this level suggestive of cord edema/ myelomalacia. Mild posterior disc bulge at C4-5 level causing indentation of anterior subarachnoid space.
if weakness is less than 4 in grading or if wasting present or if bladder involved plan soon for surgery
Cases that would interest you
- Login to View the image
45 year old male with severe back pain since 3 days after trying to get up from bed turning to one side. history of similar pain since 3 years on and off.once in 3 to 4 months the spine gets stuck in this position while turning towards one side like tying shoelace with severe pain for about 3 to 5 days then it recovers.no history of trauma.
Dr. Fa To3 Likes22 Answers - Login to View the image
25 year old male , no h/o trauma presented with sudden onset loss of sensations in b/l lower limbs and unable to move b/l lower limbs . no h/o fever , no neck rigidity .
Dr. Mohamed Shoaib1 Like44 Answers - Login to View the image
M/47, C/o. on off pain in neck since 3 months. Now C/o. pain in left chest wall lft. neck region with numbness in lft hand fingers. Spot dx rx..
Dr. Isaac Luyani8 Likes32 Answers - Login to View the image
A 75-year-old male presented with low back ache for last 1 year. Comment on this x-ray LS spine AP and lateral view.
Dr. Arnab Debbarma0 Like23 Answers - Login to View the image
65/Female severe cervical pain and not able to turn the head. pain radiating on and off to upper limbs attached xray
Dr. Delvin Blesso2 Likes19 Answers