ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

Ultrasound Therapy for Fibromyalgia and Lyme Disease

Curcumin: The All In One Solution, Part 2

What Are the Benefits of Vitamin K2?

Vitamin D deficiency + high fat diet = metabolic syndrome

Why You Should Take Your Apple Cider Vinegar at Night

Use Burdock Oil to Promote Healthy Hair Growth

AMA journal associates iron deficiency with hearing loss

Meet Your Weight Loss Goals

People with forms of early-onset Parkinson's disease may benefit from boosting niacin in diet, resea...

Lutein linked to preservation of crystallized intelligence

Print Page
Email Article

Decompression of Craniovertebral Stenosis Leads to Improvement in Fibromyalgia and Chronic Fatigue Syndrome (CFIDS) Symptoms

  [ 120 votes ]   [ Discuss This Article ]
By Author: Michael J Rosner, MD, FACS, FCCM • • January 1, 1999

After observing two patients with cervical stenosis whose "chronic fatigue syndrome" improved after surgery, we prospectively evaluated 48 patients diagnosed with chronic fatigue or fibromyalgia syndrome.

We tested the hypotheses that the spinal canal would he stenotic in patients with chronic fatigue and fibromyalgia syndromes, and that decompression of craniovertebral stenosis would lead to improvement in symptomatology and objective neurologic findings.

A detailed neurological history and examination were performed on an patients pre- and post operatively. In addition, those patients undergoing surgery were asked to complete a questionnaire with regard to symptomatology at two time points after surgery. Magnetic resonance scans were obtained on patients with a standardized protocol which allowed quantification of the AP diameter of the spinal canal, and AP and transverse spinal cord diameters at Cl through C7 levels. The AP compression ratio and spinal cord area were calculated for each patient. The foramen magnum was also studied and in selected patients a Cine-MR scan was used to help evaluate a small poste-lor fossa or Chiari syndrome. The level of the obex above the plane of the foremen magnum was measured.

For those patients with purely congenital cervical stenosis, a laminectomy was carried out based upon those levels which were in the stenotic range. If the cerebellar tonsils or foramen magnum were "tight" or abnormalities of CSF outflow from the posterior fossa were identified, the patient underwent suboccipital craniectomy with laminectomy of Cl and C2, usually with duraplasty. If both conditions were present the patient underwent simultaneous posterior fossa and cervical decompression. If purely anterior spinal cord compression was present then the patient was treated with anterior cervical decompression and fusion.

All patients had positive findings on neurologic history suggestive of myelopathy. Most patients were hyperreflexic and most demonstrated Babinski and other upper motor neuron findings. Seventy to 75% of this group had sensory and/or motor findings in the upper and lower extremities, abnormalities of gait, and other objective changes. The average spinal canal AP diameter in the mid-cervical region was less than 12mm from C3 through C6 and the average spinal cord size was below the lower limits of normal. Decompression of the cervical spinal canal lead to a statistically reliable increase in the AP diameter, AP compression ratio and spinal cord areas. Neurologic symptoms and signs reverted to normal or nearly normal in 60 to 65% of the patients with nearly all the remainder demonstrating improvement of some degree in sensory, motor, reflex, or extrapyramidal abnormalities. Two patients felt that some of their sensory symptoms had worsened. One felt weaker in the upper extremities and one felt their bladder had worsened, Four patients felt they had not changed in their neurologic symptoms.

By 24 + 2.7 weeks after surgery, 80% of the patients felt improved in most of a list of 1 9 symptoms. Fifteen to 20% felt that they were unchanged with fewer than 10% feeling that they had worsened in some symptoms. By 78 + 26 weeks after surgery, the questionnaire was repeated with more detail. Approximately 10 to 15% reported they were worse in some types of symptomatology; 10 to 20% felt they were unchanged in some of their symptoms with the remainder reporting some degree of improvement. More than half felt 50% or more improved after surgery. Nearly all patients improved in some spheres.

There is a subset of patients with the diagnosis of chronic fatigue-immunodeficiency syndrome or fibromyalgia syndrome who suffer from some element of craniovertebral compression. This is primarily congenital in nature and appears relatively normal unless more highly quantified analysis of the spinal canal and posterior fossa are carried out. Detailed neurological history and physical findings in this group of patients are consistent with a chronic myelopathy. The majority of the signs and symptoms can be reversed in these patients with craniocervical decompression.

This study does not provide insight into how many patients with ID-CFS or FMS may actually suffer from craniovertebral radiological compression. The problem is potentiated by the relative lack of quantification of craniovertebral radiological evaluation.

Post a Comment

Featured Products From the ProHealth Store
FibroSleep™ Ultra EPA  - Fish Oil Optimized Curcumin Longvida®

Looking for Vitamins, Herbs and Supplements?
Search the ProHealth Store for Hundreds of Natural Health Products

Article Comments

Be the first to comment on this article!

Post a Comment

NAD+ Ignite with Niagen

Featured Products

Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%

Natural Remedies

Prepare Yourself for Cold & Flu Season Prepare Yourself for Cold & Flu Season
Anti-Inflammatory Properties of Tart Cherry Anti-Inflammatory Properties of Tart Cherry
Improve Cardiovascular and Metabolic Health with Omega-7 Improve Cardiovascular and Metabolic Health with Omega-7
Herbal Rescue for High Blood Sugar Herbal Rescue for High Blood Sugar
The Curcumin Revolution: 'Golden' Ticket to Better Health The Curcumin Revolution: 'Golden' Ticket to Better Health

ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
Credit Card Processing
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map