手腳麻痺

病患者男 - 55歲

Vertebral alignment is preserved with no displacement or collapse. No abnormal bone marrow lesion is noted

Anterior marginal osteophytes noted, suggestive of spondylosis. Decreased disc signal and height from C2-C7 levels with thickening of the posterior longitudinal ligament (PLL)
Level by level analysis revealed the following
C2/3: mild PLL thickening noted . No significant spinal stenosis or cord compression noted. Bilateral intervertebral foramina are patent
C3/4: Disc-PLL complex noted with indentation of the thecal sac. No significant spinal stenosis or card compression is noted. Bilateral intervertebral foramina are patent
C4/5: Disc-PLL complex noted with indentation of the thecal sac. No significant spinal stenosis or card compression is noted. Mild narrowing of Bilateral intervertebral foramina noted due to uncovertebral joint hypertrophy
C5/6 Disc-PLL complex noted with indentation of the thecal sac. No significant spinal stenosis or card compression is noted. Moderate narrowing of Bilateral intervertebral foramina noted due to uncovertebral joint hypertrophy
C6/7 Disc-PLL complex noted with indentation of the thecal sac. No significant spinal stenosis or card compression is noted. Mild narrowing of the right and moderate narrowing of the left intervertebral foramina noted due to uncovertebral joint hypertrophy
C7/T1: No significant posterior disc bulge, spinal stenosis or card compression noted. Bilateral intervertebral foramina are patent.
The card remains normal in signal with no focal edema or syrinx formation noted. No

1. Cervical spondylosis noted with decreased disc signal and height from C2-C7 levels. PLL thickening/disc-PLL complexes noted. NO significant spinal stenosis of cord compression noted

1. Moderate narrowing of bilateral C5/6 and the left C6/7 intervertebral foramina noted. Correlation with radiculopathy symtoms would be helpful
2. No abnormal spinal cord lesion noted in pre-and post-contrast scan
左右手掌及腳趾已麻痹八個月，做個脊醫，物理治療，中醫都無效，請問需唔需要手術，以上為頸Mri報告

范智豪醫生回覆:
12/6/2021

多謝你的提問。

由磁力共振報告看來，你的腳趾麻痹未必關頸椎的問題，但手部的麻就有關係，你都應該做個簡單的測試，睇吓有冇糖尿病，或其他原因影響神經線。頸部影響手麻痹可以持續比較久。大部分不需要手術。

以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。