Hi, Dr. Chail: I Uploaded Some Images Titled "Head &

Posted on Sat, 22 Aug 2020

Question: Hi, Dr. Chail:

I uploaded some images titled "Head & Neck" Area. Do you see anything in these images that may potentially cause or contribute to severe vertigo or dizziness; specially vertigo or dizziness when the back of head and neck lean on a pillow, couch, or bed. It is not vertigo or dizziness from moving, changing positions, or sudden standing etc. It seems to be caused when the back of head or neck makes contact with and leans on (feels pressure) against a pillow, couch, or bed.

Thank you as always for all of your assistance.

Follow up: Dr. Vivek Chail (0 minute later)

Hi, Dr. Chail:

I uploaded some images titled "Head & Neck" Area. Do you see anything in these images that may potentially cause or contribute to severe vertigo or dizziness; specially vertigo or dizziness when the back of head and neck lean on a pillow, couch, or bed. It is not vertigo or dizziness from moving, changing positions, or sudden standing etc. It seems to be caused when the back of head or neck makes contact with and leans on (feels pressure) against a pillow, couch, or bed.

Thank you as always for all of your assistance.

Answered by Dr. Vivek Chail (12 hours later)

Brief Answer:
Please send axial images in the disc levels of posterior thecal indentation

Detailed Answer:
Hi,
Thanks for writing in to us.

Thanks for your kind words.

The images uploaded are showing mild straightening of the cervical vertebrae.

There is mild cervical spondylosis.

There is mild posterior thecal indentation in C4-C5, C5-C6 and C6-C7 disc levels. There is disc desiccation in C5-C6 and C6-C7 cervical disc levels. The cervical spinal cord is normal. There is mild narrowing of the spinal canal at C6-C7 disc level and is likely not significant.

There are no axial images to confirm any neural foraminal compromise. This information is needed to confirm if your vertigo is due to any nerve pinching and is not clearly visualised in the uploaded images.

Regards,

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Vivek Chail (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Vivek Chail (3 hours later)

Hi, Dr. Chail:

Re: The vertigo and please send axial images in the disc levels of posterior thecal indentation

I've uploaded 5 Axial images, "C3-6 Axial T2, C3-6 Axial T1, C1 Axial, C2 Axial, C4 Axial".

Thank you very much for your help.

Follow up: Dr. Vivek Chail (0 minute later)

Answered by Dr. Vivek Chail (20 hours later)

Brief Answer:
Please send axial images of the cervical vertebral levels in the neck area

Detailed Answer:
Hi,
Thanks for writing in to us.

I viewed the images uploaded and there are axial images of the thoracic vertebral levels in the chest area. Request you to please send axial images of the cervical vertebral levels in the neck area.

The disc problems are in the neck area.

Regards,

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Vivek Chail (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Vivek Chail (8 hours later)

Hi, Dr. Chail:

Oh, sorry, I got confused with the images. I started a new thread in order to upload the axial cervical vertebral images.

Thank you.

Follow up: Dr. Vivek Chail (0 minute later)

Hi, Dr. Chail:

Oh, sorry, I got confused with the images. I started a new thread in order to upload the axial cervical vertebral images.

Thank you.

Answered by Dr. Vivek Chail (13 hours later)

Brief Answer:
Have not got any new thread from you with the cervical axial images

Detailed Answer:
Hi,
Thanks for writing in to us.

I have not got any new thread from you with the cervical axial images.

Regards,

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Vivek Chail (0 minute later)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Vivek Chail (1 hour later)

I sent this message yesterday along with images, I clicked on your name to submit the question in a new thread, it is showing up on my dashboard, is it not showing up on your end?

Hi, Dr. Chail:

Just now as I'm typing this I just got sudden vertigo as my head is leaned back (made contact) with a pillow; the vertigo sometimes immediately resolves if I lift my head off what it was leaning on or sometimes turn my head to the left. There is also mild to severe nausea and loss of appetite.

I uploaded some images titled Axial Cervical.

Previous question from previous thread (started new thread to upload correct images).

Do you see anything in these images that may potentially cause or contribute to severe vertigo or dizziness; specially vertigo or dizziness when the back of head and neck lean on a pillow, couch, or bed. It is not vertigo or dizziness from moving, changing positions, or sudden standing etc. It seems to be caused when the back of head or neck makes contact with and leans on (feels pressure) against a pillow, couch, or bed.

Thank you very, very much for all of your help.
Asked by Me , 14 hours ago

Follow up: Dr. Vivek Chail (0 minute later)

Answered by Dr. Vivek Chail (30 minutes later)

Brief Answer:
The new query might be in verification and has not reached me

Detailed Answer:
Hi,
Thanks for writing in to us.

The questions are verified by the team before it reaches me. I guess your new thread is still in the verification stage and might reach me later today.

Please take care of your health. Avoid being alone when you get the vertigo attacks. Probably you might need to consult an ENT doctor and get tested for problems of the inner ear if the cervical spine does not show any serious problems.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vivek Chail (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vivek Chail (2 days later)

Brief Answer:
Did not receive new thread

Detailed Answer:
Hi,
Thanks for writing in to us.

I did not receive any new thread from you with axial cervical images.

Please talk to the customer care with your query details>>

Regards,

Above answer was peer-reviewed by : Dr. Nagamani Ng

Answered by Dr. Vivek Chail (0 minute later)

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Vivek Chail (4 minutes later)

Hi, Dr. Chail:

Regarding the axial cervical images you requested, I sent them in a new thread. Did you receive them?

Thank you for your assistance.

Follow up: Dr. Vivek Chail (0 minute later)

Hi, Dr. Chail:

Regarding the axial cervical images you requested, I sent them in a new thread. Did you receive them?

Thank you for your assistance.

Follow up: Dr. Vivek Chail (2 hours later)

Will do, thank you.

Follow up: Dr. Vivek Chail (0 minute later)

Will do, thank you.

Answered by Dr. Vivek Chail (22 hours later)

Brief Answer:
Please mail me the images

Detailed Answer:
Hi,
Thanks for writing in to us.

I was waiting for the query with images.

The customer care has not sent me any new query. They have sent me screen shots of your mail and I sent a reply and informed them about the problem. Sorry about the confusion.

Can I request you to mail me the images at YYYY@YYYY my personal email and send in another follow up continuing with this thread.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vivek Chail (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (7 hours later)

Hi, Dr. Chail:

I just emailed you 8 axial cervical images. If the ones I sent are not very clear, I can send more.

Thank you, very much for your help.

Follow up: Dr. Vivek Chail (0 minute later)

Hi, Dr. Chail:

I just emailed you 8 axial cervical images. If the ones I sent are not very clear, I can send more.

Thank you, very much for your help.

Answered by Dr. Vivek Chail (3 hours later)

Brief Answer:
Minimal neural foraminal compromise in the cervical disc levels.

Detailed Answer:
Hi,
Thanks for writing in to us.

There is minimal neural foraminal compromise in the C4-C5, C5-C6 and C6-C7 cervical disc levels. This is not a serious concern.

You can try uploading your CD images and sending me a download link in mail or in a follow up query. That will help me to match the neural foramina with the disc level.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vivek Chail (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (45 minutes later)

Thank you, Dr. Chail:

I am wondering what are all the bright white dots on the images? Mostly on the right side of the head? And a couple of bright white dots on the left side of head?

Follow up: Dr. Vivek Chail (0 minute later)

Thank you, Dr. Chail:

I am wondering what are all the bright white dots on the images? Mostly on the right side of the head? And a couple of bright white dots on the left side of head?

Answered by Dr. Vivek Chail (13 hours later)

Brief Answer:
Likely magnetic field artefacts

Detailed Answer:
Hi,
Thanks for writing in to us.

The bright dots outside in the black background are artefacts and due to magnetic field and are not significant.

Please let me know if there is something else you are referring to as bright dots.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vivek Chail (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (45 hours later)

Hi, Dr. Chail:

I emailed images with the bright white dots inside the head area, mostly on the right side some on the left. Are you able to decipher what they are? Would these bright white dots have anything to do with the vertigo?

Thank you for your help.

Follow up: Dr. Vivek Chail (0 minute later)

Answered by Dr. Vivek Chail (13 hours later)

Brief Answer:
Left side of neck structures and is normal

Detailed Answer:
Hi,
Thanks for writing in to us.

The areas showing arrows and circles is the lateral neck area and you have marked the left side of the neck. The bright dots and surrounding structures are normal neurovascular bundles and muscles in the area. It does not cause vertigo.

Regards,

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Vivek Chail (0 minute later)

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad