scholarly journals Cervical nerve root blocks for chronic cervical radiculopathy - Does it influence surgical decision making?

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Paul Emberton ◽  
Sandeep Tiwari ◽  
Ravi Kothari
Keyword(s):  
Decision Making ◽  
Nerve Root ◽  
Cervical Radiculopathy ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Surgical Decision ◽  
Nerve Root Blocks ◽  
Surgical Decision Making

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.

scholarly journals Must we discontinue selective cervical nerve root blocks?

2013 ◽  
Vol 22 (S3) ◽  
pp. 466-470 ◽  
Author(s):  
Juerg Hodler ◽  
Norbert Boos ◽  
Martin Schubert
Keyword(s):  
Nerve Root ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Nerve Root Blocks

Cervical Nerve Root Blocks: Indications and Role of MR Imaging

Radiology ◽  
2004 ◽  
Vol 233 (1) ◽  
pp. 87-92 ◽  
Author(s):  
Klaus Strobel ◽  
Christian W. A. Pfirrmann ◽  
Marius Schmid ◽  
Juerg Hodler ◽  
Norbert Boos ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Nerve Root ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Nerve Root Blocks

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 Transforaminal/Nerve Root Injections: Computed Tomography

2016 ◽  
Author(s):  
Tilman Wolter
Keyword(s):  
Computed Tomography ◽  
Nerve Root ◽  
Ct Guidance ◽  
Complication Rates ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Ct Guided ◽  
Real Time Visualization ◽  
Nerve Root Blocks ◽  
Sensitivity Specificity

Computed tomography (CT)–guided selective cervical nerve root blocks, particularly in the dorsal/posterior access, are sensitive, specific, efficacious, and safe. If performed with a lateral/anterolateral access, the CT-fluoroscopic technique with real-time visualization should be chosen. In comparison to fluoroscopy-guided nerve root blocks, CT guidance offers a more precise visualization of the contrast agent. While the advantages of CT guidance seem to outweigh the slightly higher exposure to radiation, this specific topic is debatable and requires additional scientific inquiry. Comparative studies are needed to address the sensitivity, specificity, efficacy, complication rates, and radiation exposure of CT- and fluoroscopy-guided cervical nerve root blocks.

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