Cervical Disc Prolapse Flashcards
1
Q
What nerve root is typically involved?
A
Lower nerve root
- C7 root for C6/7
- C8 for C7/T1
2
Q
What effect does a large central prolapse have?
A
Compresses cord
3
Q
What does a compressed cord cause?
A
Myelopathy with upper motor neurone symptoms and signs
4
Q
Symptoms of nerve root compression?
A
- Shooting neuralgic pain
- Down a dermatomal distribution
- Weakness & loss of reflexes depending on nerve root affected
- If large central prolapse= Myelopathy with upper motor neurone signs and symptoms
5
Q
What would myelopathy with upper motor neurone signs/symptoms indicate?
A
Large central prolapse
6
Q
How to investigate a cervical disc prolapse?
A
Clinical findings
MRI
7
Q
Treatment for cervical disc prolapse?
A
- Conservative
- Discectomy for patients resistant to conservative management
8
Q
Possibility of a an asymptomatic disc prolapse decreases with age. True or False?
A
FALSE
increases with age
