Cervical Radiculopathy Flashcards Preview

Y4 - Surgery - Neuro > Cervical Radiculopathy > Flashcards

Flashcards in Cervical Radiculopathy Deck (7)
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1
Q

ESSENCE

A

Describes range of symptoms produced by pinching of a nerve

2
Q

AETIOLOGY

Common causes

A
  • Degenerative changes of discs with age giving pressure to nerve roots
  • Ruptured disc as result of trauma
  • Infections of spine
  • Tumours of spine
3
Q

AETIOLOGY

Risk factors

A
  • Smoke
  • Past history
  • Lift heavy items
  • Drive equipment that vibrates
  • Golf
4
Q

CLINICAL FEATURES

Presentation

A
  • Pain that spreads into arm, neck, chest, upper back and/or shoulders
    • Unilateral
  • Sensory issues
    • Numbness or paraesthesia
  • Motor problems
    • Muscle weakness, lack of coordination, loss of reflexes
5
Q

INVESTIGATIONS

First choice

A
  • Various investigations used
    • MRI for nerve or soft tissue damage
    • X-ray to look for narrowing of vertebral openings
    • CT for more detailed cervical spine
    • Electromyography to see hour muscles work when rest and contracted
6
Q

MANAGEMENT

General principles

A
  • Sometimes do not require treatment if symptoms get better with time
  • Conservative treatment with medication and physiotherapy
  • Surgery
7
Q

MANAGEMENT

Medication

A
  • Corticosteroids or NSAID to reduce inflammation