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TM related to spinal trauma

PostPosted: Thu Oct 30, 2008 4:35 pm
by kmrogers
I can see from my limited reading on this subject that TM is not normally attributed to spinal trauma but I am wondering what the real-life experiences are regarding this. My husband had a serious mountain biking accident in July and required an anterior cervical discectomy with a titanium wedge insert because he had progressive right arm weakness. Prior to the surgery, his spinal cord looked normal on the MRI. At the exact time of his injury, he had left hemi-paresis and his left arm was flapping around although he was unaware of it doing so. That resolved over 5-10 minutes and has never really been explained. 1-2 weeks after his surgery, he started having tingling of his left arm (sometimes into his left leg) while flexing his neck and it has progressively worsened over the last two weeks and he has some motor involvement of his arm, especially in the morning after showering and dressing. An MRI of his c-spine few weeks ago showed a patch of left transverse myelitis. Any input from anyone? He is physician and I am a nurse so we are reasonably well informed in this area but real-life experience is always useful. He will be having an MRI of his head in the near future to help rule out the dreaded MS. He doesn't have any other symptoms of MS and it seem very coincidental that his deficits now corrospond so well with the deficits he had at the time of his injury. Anyhow, thanks for any advice or info! The mountain bike is for sale if anyone is interested...

Re: TM related to spinal trauma

PostPosted: Fri Oct 31, 2008 5:25 am
by Lynne
I looked but was unable to locate previous thread on this topic. Awhile back there was a discussion about this same thing and there were many of us who were either involved in car accidents or had had falls prior to TM. Although physicians continue to deny any postitive link between trauma and TM there are those who believe it may be a trigger.

Maybe someone else will be able to find and post the link to that discussion for you.

Re: TM related to spinal trauma

PostPosted: Tue Nov 11, 2008 8:18 am
by TLHEYNE
I, too, would be interested in this. I was involved in an auto accident March 10, 2008. I was hit broadside and nearly flipped over by the impact. I was rushed to the ER on May 4th with lower extremity numbness where I was diagnosed with parasthesia. After trips to my PCP and a couple MRIs, I was referred to my neurologist who diagnosed TM. He has also written on my Long Term Disability papers that my primary diagnosis is Spastic Paraparesis. Anyway, when I first started seeing him, I asked him if the accident could have caused the problems with my spinal cord. He said no but I have to wonder if it couldn't have contributed in some way. I've had several MRIs and other tests too numerous to mention although there were some things that were indicated on the cervical MRI like a lesion at the T1-2 level. I'm 54 years old and my neuro says the narrowing of the spinal cord is part of aging.

Has anyone heard of any research done on this subject?

Re: TM related to spinal trauma

PostPosted: Wed Nov 12, 2008 5:15 am
by Lynne
Did some more searching this morning and I found the link to the previous thread.

viewtopic.php?f=7&t=659&start=0


Hope this helps.

Lynne

Re: TM related to spinal trauma

PostPosted: Thu Jan 08, 2009 8:41 am
by 3BoyMama
I think this is a definite possibity but I wonder if it is more of a sciwora (spinal cord injury without radiographic abnormality). That is when there is a stretch to the spinal cord without a fracture of the bones. The symptoms can come on after a period of days and then spinal cord injury is seen on MRI. This is more common in children but can occur in adults, especially in the cervical spine. I wonder if that is really what it is. There does need to be positive MRI findings for this. You may want to look up SCIWORA. Take care.

Re: TM related to spinal trauma

PostPosted: Sun Feb 01, 2009 4:00 pm
by mare08
I had ulnar surgery in Nov 08 3 weeks later both arms started get tingling but I blew it off thinking it was from the pain meds Dec 5 I went to the ortho to have my splint removed and I told him about what was going on he said my right arm was numb and tingling due to the surgery and recovery and the left was acting up because I needed the same surgery. with in a few days my legs started tingling and when I bent my head forward I got a tingling down my spine. The ortho did an MRI which showed a lesion at the C2 level. A neuro made the final dianosis of transverese mylities after several months and more test. Prior to the surgery I had an MRI and it showed no lesions but the doctors all insist it had nothing to do with my ulnar surgery. I still don't buy it
Mare

Re: TM related to spinal trauma

PostPosted: Sun Feb 01, 2009 6:47 pm
by marieke
Hey Mare!
Welcome... funny seeing you on both boards now :)