Suggest Treatment For Pain And Weakness In The Limbs

Posted on Mon, 6 Feb 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 6 Feb 2017 Answered on

Mon, 27 Feb 2017 Last reviewed on

Question : 23 year female patient had sudden onset of pain and weaknee in 4 limbs.dignosed with C5-6 spinal cord compression.treated with Disectomy.request you to kindly review the docuemnts and confirm what could be the reason for this episode as there is no history of any trauma/Injury.

Answered by Dr. Dr. Naveen Kumar Sharma (55 minutes later)

Brief Answer:
This is due to acute disc prolapse

Detailed Answer:
Hello,
I have studied your case and I think that this weakness can be due to acute disc prolapse. It can happen due to some sudden movement or fall. As a patient is not having any history of fall, it can be due to very trivial injury which patient may not have noticed. Another possibility it that she may be having a cervical disc in past also, which has increased recently. If you can share me the MRI report, then I can give you a better opinion.
thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Naveen Kumar Sharma (24 hours later)

Dear Sir,thank you for revert.please find attached MRI report and guide us.

Answered by Dr. Dr. Naveen Kumar Sharma (6 hours later)

Brief Answer:
Disc prolapse is cause of the weakness

Detailed Answer:
Hello,
I have studied MRI report also. So there are two causes of weakness.
1.There was a lesion on the back side of the canal. It can be an OPLL which causes spinal canal narrowing. And due to disc herniation, there was a severe narrowing of the canal. These two things caused neuro deficit and weakness. Disc herniation was caused by cervical spondylitis.
thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar