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 

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

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.

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.

Radicular arm pain

2021 ◽  
pp. 1-10
Author(s):  
Surendra Patnaik ◽  
Alastair Carr ◽  
Praveen Inaparthy ◽  
Will KM Kieffer
Keyword(s):  
Surgical Techniques ◽  
Cervical Radiculopathy ◽  
Clinical Approach ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Arm Pain ◽  
Sensory Changes ◽  
Over Time ◽  
Careful History ◽  
Significant Weakness

Cervical radiculopathy is a neurological condition caused by dysfunction or compression of a cervical nerve root. Patients often report unilateral neck pain with radiation to the ipsilateral arm, often with sensory changes in a dermatomal distribution. Weakness and reflex changes are also commonly found and can be very troubling for patients. Careful history and examination is important to identify any more concerning features such as progressive symptoms and features of myelopathy, which could prompt surgical management. Although the majority of patients will see an improvement in their symptoms over time with conservative management, surgery is indicated in patients with debilitating pain, progressive neurology, significant weakness, instability or myelopathy. Advancements in surgical techniques offer a range of potential operations that should be considered carefully for each patient. This article outlines the clinical approach to presentation, pathophysiology, diagnosis and management.

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