CERVICAL RADICULOPATHY

Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-28-S1-34 ◽  
Author(s):  
Khalid M. Abbed ◽  
Jean-Valéry C.E. Coumans
Keyword(s):  
Physical Examination ◽  
Nerve Root ◽  
Cervical Spondylosis ◽  
Cervical Radiculopathy ◽  
Cervical Disc ◽  
Common Condition ◽  
Neural Foramen ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Entrapment Neuropathies

Abstract CERVICAL RADICULOPATHY IS a common condition that usually results from compression and inflammation of the cervical nerve root or roots in the region of the neural foramen. It is frequently caused by cervical disc herniation and cervical spondylosis. The diagnosis can be established by history and physical examination, but care should be taken, as diagnoses can mimic or coexist with cervical radiculopathy, such as entrapment neuropathies. The pathophysiology, presentation, and clinical evaluation of cervical radiculopathy are discussed.

Cervical Radiculopathy

2017 ◽  
Author(s):  
Robert B Bolash ◽  
Pavan Tankha
Keyword(s):  
Nerve Root ◽  
Cervical Spondylosis ◽  
Cervical Vertebrae ◽  
Cervical Radiculopathy ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Clinical Correlates ◽  
Arm Pain ◽  
Red Flag ◽  
Interventional Therapies

Cervical radiculopathy refers to injury or compression to the cervical nerve root(s) that results in pain and/or numbness distribution of the nerve. Clinically, patients present with neck and/or arm pain and numbness in the concordant dermatomes or myotomes. In the absence of “red flag” symptoms, treatment consists of conservative, medical, and interventional therapies. This review covers the epidemiology and etiology, pathophysiology and pathogenesis, diagnosis, treatment, and prognosis of cervical radiculopathy. The figure shows the cervical vertebrae and associated neural elements. Tables list the “red flag” symptoms suggesting prompt evaluation, clinical correlates among patients with cervical radiculopathy, and the differential diagnosis of cervical radiculopathy. This review contains 1 figure, 3 tables, and 33 references. Key words: C7 nerve root, cervical nerve compression, cervical nerve injury, cervical nerve root, cervical radiculopathy, cervical spondylosis, neck pain 

Cervical Radiculopathy

2018 ◽  
Author(s):  
Robert B Bolash ◽  
Pavan Tankha
Keyword(s):  
Nerve Root ◽  
Cervical Spondylosis ◽  
Cervical Vertebrae ◽  
Cervical Radiculopathy ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Clinical Correlates ◽  
Arm Pain ◽  
Red Flag ◽  
Interventional Therapies

Cervical radiculopathy refers to injury or compression to the cervical nerve root(s) that results in pain and/or numbness distribution of the nerve. Clinically, patients present with neck and/or arm pain and numbness in the concordant dermatomes or myotomes. In the absence of “red flag” symptoms, treatment consists of conservative, medical, and interventional therapies. This review covers the epidemiology and etiology, pathophysiology and pathogenesis, diagnosis, treatment, and prognosis of cervical radiculopathy. The figure shows the cervical vertebrae and associated neural elements. Tables list the “red flag” symptoms suggesting prompt evaluation, clinical correlates among patients with cervical radiculopathy, and the differential diagnosis of cervical radiculopathy. This review contains 1 figure, 3 tables, and 33 references. Key words: C7 nerve root, cervical nerve compression, cervical nerve injury, cervical nerve root, cervical radiculopathy, cervical spondylosis, neck pain 

scholarly journals TRANSFORAMINAL CERVICAL NERVE ROOT BLOCK: OUTCOMES AND COMPLICATIONS

2016 ◽  
Vol 15 (3) ◽  
pp. 219-221 ◽  
Author(s):  
EMILIANO NEVES VIALLE ◽  
LUIZ ROBERTO GOMES VIALLE ◽  
JOANA BRETAS CABRAL RONDON GUASQUE
Keyword(s):  
Soft Tissue ◽  
Disc Herniation ◽  
Cervical Radiculopathy ◽  
Lateral Approach ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Transient Improvement ◽  
Cervical Nerve Root Block

ABSTRACT Objectives: To investigate the effect and complications after transforaminal injection for cervicobrachialgia caused by cervical disc herniation. Methods: We retrospectively reviewed all patients undergoing fluoroscopy-guided transforaminal injection for radiculopathy caused by cervical disc herniation. During the last seven years, 57 patients (39 female, 18 male, mean age 45.6 years) experiencing cervical radiculopathy underwent cervical foraminal block guided by fluoroscopy by postero-lateral approach. The position of the needle was verified after injection of a small amount of contrast. A glucocorticosteroid was injected after 0.5 ml of 2% lidocaine. Results: The local with the highest prevalence of procedures was C6 root (31 procedures); 14 patients underwent C7 block, 7 had C5 block, and 5 in C4. Eight patients (14%) had complications (3 syncopes, 3 transient hoarseness, one patient had worsening of symptoms and one patient had soft tissue hematoma). In total, 42.1% were asymptomatic after the procedure and therefore did not require surgery after the procedure. Other 57.9% had transient improvement, became asymptomatic for at least 2 months but required surgery due to the recurrence of symptoms. Conclusion: Cervical foraminal block for cervical disc herniation is a safe way to avoid surgery. Some patients still need surgery after the procedure, but the temporary improvement in symptoms gives the patient some relief while awaiting surgery.

scholarly journals A novel sling technique for microvascular decompression of a rare anomalous vertebral artery causing cervical radiculopathy

2013 ◽  
Vol 35 (3) ◽  
pp. E2 ◽  
Author(s):  
Adesh Tandon ◽  
Sid Chandela ◽  
David Langer ◽  
Chandranath Sen
Keyword(s):  
Conservative Management ◽  
Microvascular Decompression ◽  
Nerve Root ◽  
Treatment Options ◽  
Cervical Radiculopathy ◽  
Occipital Neuralgia ◽  
Nerve Root Compression ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Vertebral Arteries

Cervical radiculopathy secondary to compression from congenital anomalous vertebral arteries (VAs) is a known entity. Patients present with a variety of symptoms ranging from upper-extremity numbness to true occipital neuralgia. Treatment options for extracranial tortuous VAs include conservative management or some form of surgical microvascular decompression (MVD). The authors report on a patient with a congenital anomalous VA loop causing cervical nerve root compression. Successful MVD was conducted with relief of the patient's symptoms. A novel sling technique was used for mobilization of the VA. To the authors' knowledge, this is the first MVD described utilizing this technique.

Microsurgical Cervical Nerve Root Decompression by Anterolateral Approach

2006 ◽  
Vol 58 (suppl_1) ◽  
pp. ONS-103-ONS-107 ◽  
Author(s):  
Michaël Bruneau ◽  
Jan Frédérick Cornelius ◽  
Bernard George
Keyword(s):  
Minimally Invasive ◽  
Nerve Root ◽  
Cervical Radiculopathy ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Anterolateral Approach ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Neurosurgical Procedure ◽  
Nerve Root Decompression

Abstract OBJECTIVE: Cervical radiculopathy caused by a posterolateral soft disc herniation or spondylosis is a common pathology. METHODS: Decompression of a stressed cervical nerve root is a routine neurosurgical procedure. Most of the time it is achieved through an anterior approach and, less frequently, through a posterior approach in specific indications. RESULTS: According to the principles that an anterolateral compression must directly be reached and that working in the vicinity of the vertebral artery is safe under visual control, we developed the anterolateral approach to the cervical intervertebral foramen and the nerve root using a minimally invasive technique to remove the offending process. CONCLUSION: Microsurgical cervical nerve root decompression by anterolateral approach is a minimally invasive technique, permitting one to remove the offending process staightforwardly. The disc and bone resections are minimal. This method avoids osteoarthrodesis or arthroplasty with disc prosthesis. This technique is efficient with good results and low morbidity.

Cervical conjoined nerve root variant: preoperative imaging and surgical confirmation

1994 ◽  
Vol 80 (3) ◽  
pp. 548-551 ◽  
Author(s):  
Constance R. Chu ◽  
Randall M. Chesnut
Keyword(s):  
Nerve Root ◽  
Cervical Radiculopathy ◽  
Preoperative Imaging ◽  
Neural Foramen ◽  
Cervical Nerve Root ◽  
Content Type ◽  
Contrast Enhanced ◽  
The Right ◽  
Tomography Scan ◽  
Conjoined Nerve Root

✓ A case of a nerve root anomaly in a patient presenting with cervical radiculopathy is presented. The patient was treated with posterolateral exploration and decompression, resulting in relief of pain and improvement in strength. Both the preoperative contrast-enhanced computerized tomography scan and the magnetic resonance image demonstrated an abnormality behind the C-4 body extending from the right C3–4 neural foramen to the neural foramen at C4–5. At surgery, a dural-encased structure was discovered connecting the C-4 and C-5 nerve roots within the spinal canal. This paper describes the first reported case of a cervical nerve root anomaly of this type, representing a variant of a conjoined nerve root. The occurrence of such nerve root anomalies in the cervical spine should be entered into the differential diagnosis and treatment of cervical radiculopathy.

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