Hello doctor, I have problems with clear thinking. When I am in a wrong position, there will be tension in my shoulders and arms, and in my face muscles, but also I cannot think clearly anymore. It is like a blackout. When I bend my head forward for a few seconds, my body reacts with sweating, rapid breathing. My chiropractor thinks it has to do with the absence of lordosis in my neck. When I bend my neck forward, there will be pressure on the brainstem. The result is a fight/flight reaction. My symptoms are a headache between my ears and above in my neck and earache after an hour of thinking. So I am not able to do my job anymore for nearly two years. I have trouble with clear thinking. The biggest problem is that sometimes I feel muscle tension in my shoulders, arms, and hands, and in my face. In that case, my consciousness is impaired. I visited a neurologist, but she could not explain it. Can you help me? Of note, when I was 12, I broke my nose. My current medications are Paroxetine 10 mg twice a week and Ibuprofen and Paracetamol. Some weeks ago, I had an MRI of the cervical spine and it showed spondylosis at C4-C5. Uncovertebral osteoarthritis. No significant neural foraminal bony stenosis was seen. Degenerative changes in the atlantoaxial joint.I also had an MRI of the cerebrum that showed no relevant MRI for comparison. Current research concerns an MRI of cerebrum according to standard protocol. The results were as follows: There were some punctiform supratentorial white matter abnormalities, a specific but most likely on the basis of microangiopathy. These are not striking for the age. Normal aspect of the basal nuclei, brainstem and the cerebellum. Normal grey/white matter differentiation and gyri/sulci patron. Slim/slender ventricular system and peripheral liquor areas. Results of the MRI of the cervical spine were: Modic-2 endplate changes around the anterior intervertebral spaces C4-C5. Degenerative changes of the atlantoaxial joint, with known osteophytes, in accordance with the CT CWK from 2007.  C2-C3: Free from significance.   C3-C4: Uncovertebral disc disease and osteoarthritis. Combined bony/discogenic narrowing of C3-C4 neuroforamen left, possibly with the involvement of root C4 left. No significant spinal canal stenosis.   C4-C5: Disc disease with posterior bulging. Uncovertebral osteoarthritis. Combined bony/discogenic neuroforamen C4-C5 on each side, possibly with the involvement of root C5 on each side. Mild to moderate spinal canal stenosis with reduced liquor signal around the myelum, but with no obvious compression.   C5-C6: Disc disease with posterior bulging. Uncovertebral osteoarthritis. Combined bony/discogenic narrowing of C5-C6 neuroforamen on each side, possibly with the involvement of root C6 on each side.   C6-C7: Disc disease with posterior bulging. Uncovertebral osteoarthritis. Combined bony/discogenic neuroforamen C6-C7 on each side, possibly with the involvement of root C7 on each side.   C7-T1: No abnormalities of any significance.  Conclusion: Intracerebral are free from abnormalities of any significance. Degenerative disorders of the cervical spine, however without significant spinal canal stenosis or demonstrable cord compression. I have attached all the reports for your reference.
Hello. I have gone through the attachments (attachment removed to protect patient identity). From your complaints, it looks like you are having tension type of pain. Actually, it occurs because of tensed tightened neck muscles. Some patients also feel similar pain in temples. You also have some anxiety component. I suggest you start on tablet Tolperisone 150 mg twice a day for 10 days and tablet Naproxen 500 mg twice a day for a week. I suggest you continue Paroxetine. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. I think you should be fine. There is nothing much to worry about all the investigations done. For more information consult a neurosurgeon online -->