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Questions & Answers on "Epidural And Spinal Anesthesia" (9)
I am 69 years old female. Since 2-3weeks I was having pain in right pelvic region and slight low backache.. Other than that I had no any symptoms…I had significant weight loss but didn’t care about it much…10 days back I underwent MRI Lumbo-sacral spine with TIM which showed partial collapse of L1 vertebra showing heterogenous altered signal intensity with in an ill-defined lobulated lesion in right half of body of L1 vertebra suggestive of either being neoplastic or infective..Then I underwent PET-CECT which showed Hypermetabolic lesion involving almost entire caudate lobe of liver suggestive of primary liver malignancy i.e.Hepatocellular carcinoma and hypermetabolic metastatic purely lytic lesion with large soft tissue component in L1 vertebra… I never had alcohol or any HBV or HCV infection nor I am obese..And spinal metastatis is very rare from liver…Please give your expert opinion regarding this case.. what may be the cause and what investigations should I need to do further? Also please tell me about the treatment options I could have
Female | 69
Answered on 31st July '24
Dr. Rakesh Kumar G R
Findings: Spastic straightening of the cervical spine. L3-4 and L2-3 broad-based disc bulge indenting the thecal sac encroaching upon both lateral recesses mildly compromising the inferior aspect of the neural foramina effects accentuated by posterior elements hypertrophies and short lamina. L4-5 broad-based disc bulge indenting the thecal sac which upon both lateral recesses comprising the neural foramina bilaterally. L5-S1 broad-based disc bulge encroaching upon both lateral recesses compromising the inferior aspect of the neural foramina Rest of scanned discs show no significant disc protrusions or foraminal compromise. Normal MR appearance of spinal cord and bone marrow signal intensity. No other abnormality seen. Impression: Multilevel spinal canal stenosis and bilateral neural compromise between L3-4 to L5-S1 and to lesser extent L2-3 with effects accentuated by bilateral posterior elements hypertrophies, short lamina and possibly mild epidural lipomatosis
Male | 50
You have a condition called spinal canal stenosis. This means the space around your spinal cord is narrow. The narrowing puts pressure on the nerves in your spine. This can lead to leg pain, numbness or weakness. Aging and regular use of the spine cause wear and tear. Treatment options include physical therapy exercises, medications, or surgery in severe cases.
Answered on 6th Aug '24
Dr. Gurneet Sawhney
My mother in law has been suffering from Moderate to severe spinal canal stenosis is noted resulting in crowding of cauda equina nerve roots.
Female | 56
Her spinal canal stenosis indicates that the area her spinal cord passes is becoming narrower. The compression may in turn apply force to the nerves that run down her legs, and consequently, she may have pain, weakness, or even numbness. Depending on the specific case, treatment may involve physical therapy, medications for pain, or in rare cases, surgery to relieve the pressure on the nerves.
Answered on 10th Oct '24
Dr. Gurneet Sawhney
Please guide me if Lumbar Spine surgery a safe procedure?
Normally spine surgery is safe, and is one the routinely conducted surgery with almost no complication. But still any surgery may have its own complications such as recurrent or continuing symptoms, infection, blood clots, dural tear, leakage of cerebrospinal fluid, nerve injury and paralysis and others.
Consult spine surgeons who on evaluation of the patient will guide you for the best treatment available. Hope our answer helps you
Answered on 23rd May '24
Dr. Babita Goel
Spinal cord complete injury
Male | 24
Complete spinal cord injuries often result in permanent disability, and the exact level and severity depend on the location of the spinal cord injury.
Rehabilitation therapy, assistive devices, and adaptive strategies are often used to help those with complete spinal cord injuries to regain as much independence and functionality as possible. Recovery from a complete spinal cord injury can be limited, but there have been improved outcomes for some.
Answered on 23rd May '24
Dr. Pramod Bhor
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