Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide

Consultation for Brain and Eye Issues Related to Cervical Spine Problems

The elderly patient has been taking dementia medication since last year and has recently experienced discomfort in the head and blurred vision.
A cervical spine X-ray was performed, and the report indicates the following: Straightening of the cervical spine lordotic curve, disc space narrowing at C3/4, C5/6, C6/7, spondylolisthesis of C4/5 and C6/7 (grade I), and a pattern of spinal stenosis.

The patient would like to ask the doctor:
1.
The cervical spine issues are currently being treated with chiropractic manipulation; is this helpful? Or which specialty in Western medicine should be consulted?
2.
Can cervical spine problems lead to poor cerebral circulation, thereby affecting dementia symptoms and visual conditions? Thank you.

lee, 80~89 year old female. Ask Date: 2023/03/17

Dr. Peng Shiwei reply Neurology

Hello, based on your cervical X-ray, I would also recommend focusing on rehabilitation therapy.
Cervical degeneration typically does not cause dizziness.
If you are concerned about inadequate blood flow from the carotid or vertebral arteries, you may consult a neurologist to evaluate whether a carotid ultrasound is necessary.
Thank you for your inquiry.

Reply Date: 2023/03/17

More Info

Neck issues can significantly impact brain function and vision, especially in older adults who may already be experiencing cognitive decline or other neurological conditions. Based on the symptoms and X-ray findings you've described, it is essential to approach this situation with a comprehensive understanding of how cervical spine problems can affect neurological health.

1. Cervical Spine Issues and Treatment: The X-ray findings indicate several cervical spine issues, including straightening of the lordotic curve, disc space narrowing, spondylolisthesis, and spinal stenosis. These conditions can lead to nerve compression, which may result in various symptoms, including headaches, neck pain, and visual disturbances. The treatment you are currently undergoing, which involves manual therapy or chiropractic adjustments, can be beneficial for some patients. These therapies aim to improve spinal alignment, reduce pain, and enhance mobility. However, the effectiveness of such treatments can vary from person to person.
It is also advisable to consult with a medical doctor, particularly a neurologist or an orthopedic specialist, who can provide a more thorough evaluation of your cervical spine issues. They may recommend additional imaging studies, such as an MRI, to assess the soft tissues and nerve roots more clearly. This can help determine if there is any significant nerve compression that may be contributing to your symptoms.

2. Impact on Brain Circulation and Cognitive Function: Regarding your second question, cervical spine problems can potentially lead to compromised blood flow to the brain. The vertebral arteries, which supply blood to the posterior part of the brain, run through the cervical spine. If there is significant spinal stenosis or other structural abnormalities, it could lead to reduced blood flow, which may exacerbate cognitive issues, particularly in someone with a pre-existing condition like dementia.
Additionally, neck pain and discomfort can lead to increased stress and anxiety, which can further impact cognitive function and overall well-being. The relationship between neck problems and visual disturbances is also noteworthy. Nerve compression in the cervical spine can lead to referred pain or dysfunction in the visual pathways, resulting in symptoms such as blurred vision or difficulty focusing.

In summary, it is crucial to address both the cervical spine issues and their potential impact on neurological health. A multidisciplinary approach involving physical therapy, medical evaluation by a neurologist, and possibly imaging studies will provide a clearer picture of your condition and guide appropriate treatment.
If you are experiencing persistent symptoms, it is essential to seek medical attention promptly. Early intervention can help manage symptoms more effectively and improve your quality of life. Remember to communicate openly with your healthcare providers about all your symptoms, as this will aid in developing a comprehensive treatment plan tailored to your needs.

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