Management of Degenerative Cervical Myelopathy

Рет қаралды 8,163

NASSspine

Күн бұрын

Featuring:
- Michael G. Fehlings, MD, PhD, FRCSC
- Paul M. Arnold, MD

Пікірлер: 19

@garydunn3037 2 ай бұрын

My Mother was diagnosed with Cervical Myelopathy following knee Surgery. She was driving at the time, but began missing the gears between shifts. Then she developed steering issues. I told her, you can't drive anymore, and she began to deteriorate to the point where she lost all her "Motor Functions" and I had to do everything for her. She ended her days in a "Nursing Home" and died 4 weeks ago. She was put on "End of Life Pathway" without either food or liquids, but lasted 12 days, before she Passed Away. We only went to her Funeral yesterday April 19. So, I Implore anyone who has these symptoms, Get Surgery before its too late.

@gendaminoru3195 2 ай бұрын

OMG, so sorry to hear of your loss. how long has it been since first noticed until losing all motor functions. I hope she was surrounded by love after not being able to move.

@trudyboschert4472 2 ай бұрын

I have cervical sponlitic Myelopathy and was told by a neurologist on Thursday without surgery I will become paralyzed from my neck down.The neurosurgeon won't do the surgery because I smoke, have osteoporosis and he says I'm malnourished.. Now the neurologist wants to do an EMG with nerve conduction to rule out MND.My appointment isn't until August.I already have severe neurologic deficit.

@garydunn3037 2 ай бұрын

@@gendaminoru3195 For the past year, I described her as a "Living Corpse" She had no "Motor Functions" for over a Year. She even lost her speech, but was only able to communicate, with a Yes by "Poking her Tongue out" or "Blinking her Eyes" for a No. She survived for 12 days, when she was put on "End of Life Pathway" without either Food or Liquids, and her "Dying Wish" she managed to say, was "I want to go Home" I am in tears even typing this out. Sorry but I am so distraught with the thought of what she went through.

@garydunn3037 2 ай бұрын

I was there everyday, and I think she appreciated me being there. My Father died almost 11 years ago. And I have worn myself out "Caring" for her her until she went into "Nursing Care" but if I could have her back, I would do it "All Again" God Bless You Mum, wherever you are.

@garydunn3037 2 ай бұрын

@@trudyboschert4472 Yes it is degenerative, please get the surgery, because without it, you will end up like my Mother. She slowly began to deteriorate, lost all her motor functions from the neck down. She was not even able to speak in the end. I told a Taxi driver, who was taking me to see my Mother, and he said "You wouldn't let an animal suffer like that" She "Passed Away" 4 weeks ago. I would not wish that on anyone.

@sealton1 2 жыл бұрын

Excellent clinician review of this topic. Can you add pics of all the tests and the normal/positive response? Thank you! Suzanne Alton DNP, APRN, FNP

@krishnareddyboilla3790 2 жыл бұрын

Only alternative for myelopathy is surgery to disc bulging and compression.No medication solve the problem

@trudyboschert4472 2 ай бұрын

I have Cervical sponlitic Myelopathy according to my cervical MRI but now the neurologist wants to do an EMG with nerve conduction to rule out MND.

@dsirhc 2 жыл бұрын

My MRI findings are multilevel disc osteophyte complexes w/ mild cord impingement. Small focus of hyperintense T2 signal w/in the cord at C3-4, probably representing myelomalacia. Mild central canal stenosis. Is this the same as Degenerative Cervical Myelopathy?

@lesliec9311 2 жыл бұрын

I am hoping that someone will reply to my comment. How and where can a diagnosis be made for spinal problem that caused cervical disk compression and a few lumbar disk abnormalities? My son is 27. He has been suffering with spinal issues and pain for years. Recently, at last, he was referred to a neurosurgeon in Hamilton. Based on my son's MRI imaging, he was offered a cervical surgery. He is soon to be giving his final answer whether he is ok with going ahead with having the procedure. His and my problem is that my son still does not have a definitive diagnosis of what has caused the cervical compression and abnormalities in lumbar section of his spine. Is it even right to do surgical procedure without having a definitive diagnosis of the condition that is causing all of the damage? Is there spinal issues diagnostic service in Ontario where we can submit my son's history and receive definitive diagnosis of his condition? Or he should go into surgery blindly? He is in great deal of pain and is prepared to accept any help. It does not feel right, tbough. How can he be signing informed consent agreement while not being informed about his diagnosis? We would appreciate a reply very much.

@kyleclifford772 Жыл бұрын

The neurosurgeon will do an MRI on his spine and that’s what they use to diagnose the issue and how to approach it with surgery. They will not look into the cause of it because it is impossible to know unless he has had trauma to it. ( and the don’t care what caused the issue) I have had a two level cervical fusion in Toronto in 2021. It is impossible to diagnose a spine issue without an MRI. If you get a referral to a surgeon keep on them they really drag their feet at getting to the patients. The sooner they operate the less neurological issues he will have after surgery. Good luck ps don’t hesitate on surgery if they recommend it.