Based on the clinical examination findings and the medical imaging the Panel is of the opinion that the Plaintiff is suffering from constitutional cervical spondylitic myelopathy (CSM) with hyperreflexia, which is not relevant to any claimed injury.
The Panel also concluded that the Plaintiff is suffering from constitutional degenerative joint disease of both hands, which is not relevant to any claimed injury.
The Panel accepted that the condition for which the Plaintiff was treated in 2009 and 2010 was the C3/4 disc protrusion with canal stenosis. This condition was successfully treated by discectomy and fusion surgery as evidenced by the MRI scan of 24 September 2012, which confirmed that there was no longer any spinal canal stenosis or cord signal change at this level.
The Panel considered the symptoms from which the plaintiff now complains are indicative of the specific constitutional condition of CSM and constitutional degenerative joint disease of both hands and are not indicative of any suggested aggravation of generalised degenerative changes in the cervical spine.
The Panel noted the report of examining consultant neurosurgeon Mr David Brownbill dated 20 September 2013 in which he indicated that on examination he found very brisk reflexes in upper and lower limbs (with down going plantar response) but no objective neurological abnormality. The Panel also noted the report of that examining surgeon Mr Kenneth Brearley dated 29 August 2013 in which he indicated that all reflexes were normal.
The Panel at its examination found definite clinical evidence of generalised hyperreflexia in the upper and lower limbs to account for the diagnosis of CSM.
The Panel also considers that the CSM and constitutional degenerative disease of both hands have not been affected in any way by the Plaintiff's employment and none of her current symptoms is related to the treated C3/4 disc protrusion with canal stenosis condition.
The Plaintiff also performed a psychiatric assessment.
...
The Panel concluded that the Plaintiff is not suffering from any psychiatric or abnormal psychological condition.
The Panel therefore concluded that the Plaintiff is no longer suffering from any medical condition, relevant to any claimed injury.
As the Panel considered the Plaintiff is no longer suffering from any medical condition, relevant to any claimed injury it concluded that the Plaintiff has no present inability to return to her preinjury employment arising from an injury.
The Panel noted the submissions made by the parties with regard to the relationship with the Plaintiff's current condition to the original injury and considers it has adequately explained how and why the Panel has reached its conclusions in this regard.[60]