Hi doctor, I am a 45 year old male. My weight is 96 kg and height is 184 cm. I have severe sleep apnea and minor CAD with hypertension. I am facing problems of imbalance and lightheadedness. This started some six months back. Then, I was diagnosed with an uncompensated vestibular lesion. After a while, the symptoms improved. But now, again for the last two to three weeks the symptoms have become more pronounced. I feel unbalanced while standing and I cannot easily stand in a queue. Once I start walking it improves. I also feel lightheaded from time to time. The feeling is not of vertigo, but rather a feeling that I might faint, though I have not actually fainted. This feeling comes on at any time, even while sitting down. My doctor, a spine specialist, on examination noted Romberg positive, Hoffman positive and DTR ++ exaggerated reflexes. He advised me to have a cervical spine MRI. I have taken an MRI and the report is attached herewith. What does the MRI reveal? It is mentioned as moderate cervical cord compression with myelopathic changes. How serious is this? What would be the treatment and prognosis? Is this cord compression the cause of my imbalance and lightheadedness? I also feel breathless on exertion like bending down. Can this be related to the above? I had an angiogram recently which shows only minor artery disease and I am currently on medication for the same. Thank you.
Hello. Upright neck x-rays, if not already done. Cerebellar and vestibular lesions. Cervical spondylotic myelopathy (CSM). Revert back with the report images to a neuro surgeon online.--->