compression at root

triedandconvicted · 05-08-2005, 12:20 AM

my last mri shows 15 mm perineural cyst close to right S1-2 exiting neural foramen,it has a high T2 and low T1 signal.

am 7 yrs post,c6/7 incompl,with no pain since a
pt jumped on top of my bent legs and pushed my knees into my chest.Could that cause compression?

my s1 motor/sensation/reflex status is not doing anthing drastically different,same impaired sensation in heels and toes

have huge increase in leg spasticity,but it could be from downtime w p/sore,but have really bad lumbar pain since the stretching event

what s/b my next plan of action to take?

is it looking like a contusion trauma?

Rob C6/7

Wise Young · 05-08-2005, 05:53 PM

tried,

I am not sure that I understand your description. Were you injured as a result of a person jumping on top of you? What level is your injury?

A 15-mm perineural cyst is substantial and if it is compressing your S1 root, have your doctor(s) considered decompressing it? If not, why not? If the cyst is compressing on your roots, it should be removed.

Wise.

triedandconvicted · 05-08-2005, 07:14 PM

injured may 98,mva,c6/7,success fusion with,bone taken from hip,since feb 03 had bad lumbar pain,pt was pushing my knees into chest as a lumbar stretch wkly until may/03,i cancelled and by april /04wasok.june/04,same pt was to do elbow /arm therapy
and offerred to train my new pc helper,how to do straight leg stretch,then did same lumbar stretch on me,total worse ever pain since,had to wait to dec 7/04 for mri
my physiatrist says take tylenol,no focal disc herniation,no significant spinal stenosis demonstrated
i will get my helper to type out full mri
and post to pt,my physiatrist wants me to do stand up machine and physio!i can barely sit in my chair.i am seeing my gp doc i will ask for consult with neuro & ortho surgeon.
Tried

[This message was edited by triedandconvicted on 05-09-05 at 07:48 AM.]

Wise Young · 05-08-2005, 11:03 PM

tried, I suggest that you ask for a referral to see a neurosurgeon concerning the perineural cyst that has shown up on your MRI.

Wise.

05-08-2005, 12:20 AM	#1
triedandconvicted Senior Member Join Date: Jul 2004 Location: Ontario Posts: 176	compression at root my last mri shows 15 mm perineural cyst close to right S1-2 exiting neural foramen,it has a high T2 and low T1 signal. am 7 yrs post,c6/7 incompl,with no pain since a pt jumped on top of my bent legs and pushed my knees into my chest.Could that cause compression? my s1 motor/sensation/reflex status is not doing anthing drastically different,same impaired sensation in heels and toes have huge increase in leg spasticity,but it could be from downtime w p/sore,but have really bad lumbar pain since the stretching event what s/b my next plan of action to take? is it looking like a contusion trauma? Rob C6/7

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05-08-2005, 05:53 PM	#2
Wise Young Administrator Join Date: Jul 2001 Location: New Brunswick, NJ, USA Posts: 37,975	tried, I am not sure that I understand your description. Were you injured as a result of a person jumping on top of you? What level is your injury? A 15-mm perineural cyst is substantial and if it is compressing your S1 root, have your doctor(s) considered decompressing it? If not, why not? If the cyst is compressing on your roots, it should be removed. Wise.

05-08-2005, 07:14 PM	#3
triedandconvicted Senior Member Join Date: Jul 2004 Location: Ontario Posts: 176	injured may 98,mva,c6/7,success fusion with,bone taken from hip,since feb 03 had bad lumbar pain,pt was pushing my knees into chest as a lumbar stretch wkly until may/03,i cancelled and by april /04wasok.june/04,same pt was to do elbow /arm therapy and offerred to train my new pc helper,how to do straight leg stretch,then did same lumbar stretch on me,total worse ever pain since,had to wait to dec 7/04 for mri my physiatrist says take tylenol,no focal disc herniation,no significant spinal stenosis demonstrated i will get my helper to type out full mri and post to pt,my physiatrist wants me to do stand up machine and physio!i can barely sit in my chair.i am seeing my gp doc i will ask for consult with neuro & ortho surgeon. Tried [This message was edited by triedandconvicted on 05-09-05 at 07:48 AM.]

05-08-2005, 11:03 PM	#4
Wise Young Administrator Join Date: Jul 2001 Location: New Brunswick, NJ, USA Posts: 37,975	tried, I suggest that you ask for a referral to see a neurosurgeon concerning the perineural cyst that has shown up on your MRI. Wise.