Cervical disk herniation: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Neck/shoulder/arm pain in [[Spinal cord levels|dermatome]] distribution, weakness, hyperreflexia | *Neck/shoulder/arm pain in [[Spinal cord levels|dermatome]] distribution, weakness, hyperreflexia | ||
{| class="wikitable" style="text-align:center" | |||
! Radiculopathy | |||
! Motor Deficit | |||
! Sensory Deficit | |||
! Reflex | |||
|- | |||
!C5 | |||
||Deltoid & Biceps||||Biceps | |||
|- | |||
!C6 | |||
||Brachioradialis & Wrist extension||Thumb Paresthesia||Brachioradialis | |||
|- | |||
!C7 | |||
|| || || | |||
|- | |||
!C8 | |||
|| || || | |||
|} | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 16:17, 27 May 2017
Background
- Nucleus pulposus protrudes through posterior annular fibrosis
- Leads to radiculopathy or less commonly myelopathy
Clinical Features
- Neck/shoulder/arm pain in dermatome distribution, weakness, hyperreflexia
| Radiculopathy | Motor Deficit | Sensory Deficit | Reflex |
|---|---|---|---|
| C5 | Deltoid & Biceps | Biceps | |
| C6 | Brachioradialis & Wrist extension | Thumb Paresthesia | Brachioradialis |
| C7 | |||
| C8 |
Differential Diagnosis
Workup
Management
- MRI required for definitive diagnosis