Thank you for your help
Do you think I need another EMG?
Ie last one was August 31 2024
Could this be anxiety symptoms?
I also have pre atrial contractions and atrial flutter
But was told it was minor condition.
Thank you for your advice
Also had MRI on lower back last September see below results
MRI LUMBAR SPINE WITHOUT CONTRAST
CLINICAL HISTORY: EMG shows left gastrocnemius denervation, weakness in the left leg plantar and dorsiflexion.
REFERENCE EXAMINATION: No relevant prior imaging
FINDINGS:
5 lumbar type vertebra. Alignment is normal. Vertebral body heights preserved. No abnormal marrow signal. No
aggressive osseous lesions. Partially visualized lower spinal cord grossly unremarkable. The conus terminates at T12-L1.
Multilevel mild disc disease:
L1-L2: Unremarkable.
L2-L3: Mild facet arthropathy. No significant spinal canal or neuroforaminal stenosis.
L3-L4: Mild diffuse disc bulge. Moderate facet arthropathy. No significant spinal canal stenosis. Minimal bilateral
neuroforaminal stenosis.
L4-L5: Minimal diffuse disc bulge. Moderate facet arthropathy. No significant spinal canal stenosis. Moderate left and mild
right neuroforaminal stenosis.
L5-S1: Mild diffuse disc bulge with central annular fissure. Moderate facet arthropathy. No significant spinal canal stenosis.
No significant neuroforaminal stenosis.
Tiny renal cyst on the left on localizer images.
IMPRESSION:
Multilevel mild disc disease as described. No significant spinal canal stenosis. Moderate left neuroforaminal stenosis at
L4-L5.
Do you think this could cause symptoms?
Also had Head and neck MRI last September see below
MRI BRAIN, MRA COW and NECK VESSELS
INDICATION: Recurrent disequilibrium a couple years ago. Extensive neck exercises developed a violent vertigo the
following day. Rule out vertebral artery stenosis.
COMPARISON: CT and CTA September 2, 2024. MRI brain September 2, 2009
TECHNIQUE: Multiplanar multisequence MRI through the brain without and with gadolinium. MRA time-of-flight images
through the circle of Willis and MRA gadolinium enhanced images through the neck vessels were also performed.
FINDINGS:
No areas of diffusion restriction, intracranial hemorrhage, or mass effect.
Normal flow voids in the major intracranial arteries and veins.
No hydrocephalus or extra-axial collection.
A couple minor foci of FLAIR signal abnormality in the deep white matter, most likely related to mild chronic small vessel
disease.
3 mm saccular aneurysm arising from the right P1 PCA (image 83 series 9), and 7 mm aneurysm arising from the
extracranial right ICA, approximately 7 cm superior to the bifurcation. Major intracranial arteries are patent with no areas
of significant stenosis or irregularity.
Conventional aortic arch anatomy. Left dominant vertebrobasilar system. The carotid and vertebral arteries are patent
throughout their course in the neck with no areas of significant canal or foraminal stenosis. No evidence of recent
dissection.
The orbits and extracranial soft tissues appear normal.
Paranasal sinuses and mastoid air cells are aerated.
IMPRESSION:
1. No acute intracranial abnormality to account for the patient's symptoms.
2. No evidence of vertebral artery stenosis or recent dissection.
3. Right PCA aneurysm and right ICA aneurysm are similar to the recent CTA. Neurosurgical consultation recommended
to guide future management, if not already initiated.
ADDENDUM:
I have been asked to comment if there are any signs of MS.
There are no specific imaging findings to suggest primary demyelinating disease. A few minor foci of subcortical and deep
white matter FLAIR signal abnormality could be related to mild chronic small vessel disease.
Anything here that you could comment on re my symptoms
Thank you again and sorry for all the questions and info
Best regards
