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Unsteady on walking with feeling of falling. MRI C-SPINE.

Resolved Question:

Hi Doctor,

I am 28 years old male. I am getting unsteady wile I am walking and feeling that i will fall down.

This has been happening for last 1.5 years,

I have visited a neurosurgeon last month and he advised me to go for a MRI C- Spine. I am attaching the MRI Reports of my C-spine and his diagnosis report will this message.

the MRI Report says that I have cervical spinal steno-sis.

I have no neck pain or headaches. BP and sugar level are normal. ECG is normal as well.

Does cervical spinal steno-sis make you unsteady wile you are walking.

I wanted your opinion for the same. Kindly refer the reports by my doctor and MRI.

Category: Neurosurgeon

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Category: Spine Surgeon
Dr. Goutham Cugati is online now

Expert:  Dr. Goutham Cugati replied 4 Days.

Thank you for your query at DoctorSpring.com
I understand your concern.

I have seen your MRI reports. As per the reports you definitely have cervical canal stenosis. This can result in weakness and stiffness of all 4 limbs and change in gait as well. Sometimes unsteadiness also.

As examined by your Neurosurgeon you do not have weakness or stiffness. I am of the opinion that we can continue observation. If symptoms are worse then sometimes you may need surgery.
Feel free to discuss further,

Patient replied :

Thanks Doctor. My doctor has put me on hard cervical collar and Meftal forte tablets for 21 days. Is there any alternatives ways to reduce the pressure in spinal cord and improve my blood flow to brain. The unstedyness is very disturbing and affecting my day to day activites is this condition serious? any physical activity or excersise can help this? Is the surgery very complex? Am very worried kindly help.

Expert:  Dr. Goutham Cugati replied 3 Days.

Surgery is not a complex situation.
Since unsteadiness is your main symptom I suggest you to see a neurologist before deciding on surgery. As there are other reasons for unsteadiness which might have to be ruled out; like cerebellar problems, degenerative spinal cord lesions.

But if spinal cord compression is the only cause then surgery is the best option.

Dr. Goutham Cugati
Category: Spine Surgeon
Residency: Neurosurgery, the Post-Graduate Institute of Neurological Surgery, Dr. Achanta Lakshmipathi Neuro surgical Center, VHS Hospital, Chennai, 2011

Postgraduate in Neurosugery: DNB, National Board of Examinations,
Part 1 - 2008, Part 2 -  2010

Medical School: Bachelor of Medicine, Bachelor of Surgery, JSS Medical College, 2004
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