พบแพทย์ด้วยอาการปวดหลัง ขาซ้ายอ่อนแรง และมีอาการชาข้อเท้าทั้ง2ข้างค่ะ ตอนนี้รักษาด้วยการทานยา และกายภาพบำบัด มา 1 ปี 4 เดือน อาการทรงๆ ตอนนี้มีเพิ่มอ่อนแรงขาขวา เลยอยากขอคำแนะนำในการรักษา หรือแปลผล หรือความเห็นเพิ่มเติมค่ะ ขอบคุณค่ะ
MRI lumbo-sacral spine.
History: right sciatica.
Technique: sagittal T1WI, T2WI, T2WI+FS, coronal T2WI, axial T1WI, T2WI,R
myelogram.
Findings:
The study reveals mild degenerative change of LS-spine.
The alignment of spine is good. Mild scoliosis to left is seen.
L1/2 disc level: There is no definite posterior disc bulging. No stenosis of spin neural foramina is seen.
L2/3, L3/4 disc levels: There are minimal bilateral posterolateral disc bulging definite stenosis of bilateral neural foramina is seen. No root compression is noted.
L4/5 disc level: There is mild diffuse posterior disc bulging with disc desiccation No stenosis of bilateral neural foramina are seen.
S1 disc level: There is posterior disc bulge with disc desiccation and indentation to thecal sac. No stenosis of spinal canal or neural foramina is seen
The vertberal bodies show normal T1, T2 signal intensity without osteolytic lesion or fracture. The conus medullaris terminates at T12/L1
The visualized spinal cord is unremarkable.
Impression:
-Mild degenerative change of LS spine.
-Mild diffuse posterior disc bulging with disc desiccation at L4/5 disc.
-Mild scoliosis of lumbar spine to left.
-No definite evidence of nerve root compression, however, please correlates with clinical
information.
หมอนรองกระดูกทับเส้นประสาท รบกวนผู้รู้แปลผล mri ค่ะ
History: right sciatica.
Technique: sagittal T1WI, T2WI, T2WI+FS, coronal T2WI, axial T1WI, T2WI,R
myelogram.
Findings:
The alignment of spine is good. Mild scoliosis to left is seen.
L1/2 disc level: There is no definite posterior disc bulging. No stenosis of spin neural foramina is seen.
L2/3, L3/4 disc levels: There are minimal bilateral posterolateral disc bulging definite stenosis of bilateral neural foramina is seen. No root compression is noted.
L4/5 disc level: There is mild diffuse posterior disc bulging with disc desiccation No stenosis of bilateral neural foramina are seen.
S1 disc level: There is posterior disc bulge with disc desiccation and indentation to thecal sac. No stenosis of spinal canal or neural foramina is seen
The vertberal bodies show normal T1, T2 signal intensity without osteolytic lesion or fracture. The conus medullaris terminates at T12/L1
The visualized spinal cord is unremarkable.
Impression:
-Mild degenerative change of LS spine.
-Mild diffuse posterior disc bulging with disc desiccation at L4/5 disc.
-Mild scoliosis of lumbar spine to left.
-No definite evidence of nerve root compression, however, please correlates with clinical
information.