קנקנים בצוואר והרדמות אצבעות רגליים

דיון מתוך פורום  נוירוכירורגיה

16/11/2025 | 06:55 | מאת: משה12

לפני שנים רבות הבאתי ניתוח דיסק צווארי מאז הכל הנה טוב ושקט לפני כחצי שנה החלקתי אחורה בהתחלה כאב קצת בשוק שמאל ,לאחר זמן התחילו קנקים בצוואר לעיתים דקירות בצוואר צד שמאל ,באצבעות ידיים או שאצבע נתקעת ולאחרונה נרדמות 2 אצבעות רגליים בכל צד, אני קצת עובד עיצות ומתנצל ולמרות אורך התשובות mri צוואר גב תחתון אודה על עצתך מה לעשות ,האם יש סיכון על שהוא מדהוא דחוף אני לא נמצא בארץ לכן התשובות באנגלית תודה מראש Mri צווארי TECHNIQUE: A multiplanar, multisequence MR examination was performed without intravenous gadolinium contrast. <<FINDINGS:>> Vertebral bodies: No compression fracture. Ventral osteophytes at C4-5 through C6-7. Alignment: Mild reversal of the cervical lordosis, which may be due to pain or muscle spasm.Grade 1 anterolisthesis of T2 on T3 and T3 on T4.. Anatomic alignment of facet joints. Marrow signal: Marrow endplate degenerative change at C5-6 and C6-7. Intervertebral discs: Diffuse degenerative disc desiccation.Moderate to space narrowing and endplate discogenic change at C5-6 and C6-7. Spinal canal contents: Cord normal in signal. No epidural mass or fluid collection. Atlanto-occipital articulation: Unremarkable. Atlanto-axial articulation: Unremarkable.Atlantal-dens interval maintained. Evaluation of the individual cervical disc levels demonstrates the following: C2-3: No significant canal stenosis or foraminal narrowing. C3-4: Broad-based disc osteophyte complex. Flattening of the cord and mild canal stenosis. The canal measures 9.4 mm in AP dimension. Moderate to severe right and moderate left foraminal narrowing due to uncovertebral hypertrophy and facet arthropathy. C4-5: Broad-based disc osteophyte complex. Flattening of the cord and mild canal stenosis. The canal measures 9.5 mm in AP dimension.Moderate bilateral foraminal narrowing due to uncovertebral atrophy and facet arthropathy Severe left facet arthropathy. C5-6: Broad-based disc osteophyte complex. Flattening of the cord and moderate canal narrowing due to uncovertebral hypertrophy and facet arthropathy. stenosis. The canal measures 6.7 mm in AP dimension. Moderate to severe bilateral foraminal C6-7: Broad-based disc osteophyte complex. Flattening of the cord and mild to moderate canal stenosis. The canal measures 7.2 mm in AP dimension. Moderate to severe right and moderate left foraminal narrowing due to uncovertebral hypertrophy and facet arthropathy. C7-T1: Unremarkable. Paraspinal soft tissues: No prevertebral edema.Unremarkable. Intracranial contents: Visualized portions of the posterior fossa and craniocervical junction are normal. <<IMPRESSION:>> 1.Mild reversal of the cervical lordosis, which may be due to pain or muscle spasm. osteophyte complexes. 2.At C3-4 and C4-5, there is mild canal stenosis and cord flattening due to broad-based disc 3.At C5-6, there is cord flattening and moderate canal stenosis due to a broad-based disc osteophyte complex. disc osteophyte complex. 4.At C6-7, there is cord flattening and mild to moderate canal stenosis due to a broad-based 5.No abnormal cord signal. 6. Multilevel foraminal narrowing as described. Mri low back EXAM MRI OF THE LUMBAR SPINE WITHOUT CONTRAST, 13-NOV-2025, 15:11 PM EST, 580 IMAGES COMPARISON! 06 Nov 2025, 1647 PM EST MR. CERVICAL SPINE WO INDICATIONS LOWER BACK PAIN TECHNIQUE Altipl FINDINGS Vertebral bodies: No compression fracture. No osseus expansion Small T11 and LS hemangiomas Alignment No significant scoliosis. No spondylolisthesis. Bone marrow signal: Diffuse 11 hypointensity of the bone marrow signal Differential diagnosis includes red marow reconversion in the setting of iron deficiency anemia, chronic renal insufficiency, smoking, or an inhitrative process. Intervertebral discendplates: Diso desiccation at L2-3 through L5-S1. Endplates are intact. Spinal canal contents: Conus terminates at 11 and is normal in signal No epidural mass or fluid collection Cauda, equina unremarkable. Individual evaluation of the disc spaces demonstrates the following L1-2: No significant canal stenosis or foraminal narrowing. L2-3: Mild annular disc bulge. Superimposed 3 mm central disc protrusion with subjacent annular tear Indentation of the thecal sac and mild canal stenosis. Mild bilateral foraminal narrowing. L3-4: Mild annular disc bolge Mild bilateral to arthropathy Flattening of the thecal sac and mild canal stenosis Narrowing the Interal with impingement the exiting ve rools ses. Moderate bilateral foraminal narrowing, L4-5: Mild annular disc bulge w superimposeti 3 mm left foraminal disc protrusion. Mild bilateral facet arthropathy, Flattening of the the sac and mild canal stenosis Narrowing of the Interal recesses, with encroachment on the LB nerve roots Moderate to severe bilateral foraminal narrowing, with impingement of the exiting L4 nerve roots. L5-S1: Mild annular disc bulge with a superimposed 5 mm broad-based central disc protrusion. Mild bilateral facet zuthropathy Indentation of the thecal sac and mild canal stenosis Narrowing of the lateral recesses, with impingement the traversing S1 nerve roots, Moderate bilateral foraminal narrowing, with impingement of exiting L5 nerve roots. Paraspinal soft tissues: 1 cm cyst at the lower pole of the right kidney.. IMPRESSION: 1.At L2-3, there is mild canal stenosis and mild bilateral foraminal narrowing due to an annular disc bulge with a superimposed central disc protrusion. 2.At L3-4, there is mild canal stenosis, narrowing of the lateral recesses, and impingement on the exiting L3 nerve roots due to an annular disc bulge and mild facet arthropathy. 3.At L4-5, there is mild canal stenosis, encroachment on the L5 nerve roots within the lateral recesses and impinging on the exiting L4 nerve roots due to an annular disc bulge with a superimposed left foraminal disc protrusion and mild facet arthropathy. 4. At L5-S1, there is mild canal stenosis, impingement on the Sinerve roots within the lateral recesses and impinging on the exiting L5 nerve roots due to an annular disc bulge with a superimposed broad-based central disc protrusion and mild facet arthropathy +

למשה שלום, נדרשת בדיקה נוירולוגית אורטופדית ובהמשך השוואתה לממצאי MRI בעמוד שדרה צווארי ובעמוד שדרה מתני כדי להציע לך תכנית טיפולית הולמת

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