Displaying items by tag: c3-c4

ke/hs
Date : 00.00.00

Name of the Patient : Abc XyzSalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain and numbness/tingling in both hands and BLE with gait imbalance since 6-8 months.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is loss of normal cervical curvature. There is a decrease in the height of the C4 and C5 vertebral bodies with slight anterior wedging of the C3, C4 and C5 vertebral bodies.

There is retroplacement of the C5 vertebra over the C6 vertebra.

There are large posterior peridiscal osteophytes, more to the right of the midline, at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the cord and bilateral neural foraminal narrowing.

The spinal cord at the C4-C5 and C5-C6 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images and is suggestive of cord edema/ischemia/gliosis.

The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes. Anterior disc herniations with anterior peridiscal osteophytes are noted at these levels.

The joints of Luschka on the right side show degenerative changes at the C4-C5 and C5-C6 levels.
..2/.









- 2 -


There is reduction in height of the C3-C4, C4-C5 and C5-C6 intervertebral discs with loss of water content of the cervical and upper dorsal intervertebral discs.

The cervical vertebral bodies show areas of fatty replacement of normal marrow. The
visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows degenerative changes in the lumbar spine with posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels and Schmorls nodes in the dorso-lumbar region.

IMPRESSION :

1. Retroplacement of the C5 vertebra over the C6 vertebra.

2. Large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5 and C5-C6 levels with resultant canal stenosis at the C4-C5 and C5-C6 levels.

3. Cord signal alteration at the C4-C5 and C5-C6 levels suggests cord edema/ ischemia/gliosis.