RT Book, Section
A1 Ritter, Kathryn
A1 Fitch, Robert Warne
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181043609
T1 Cervical Radiculopathy
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181043609
RD 2024/04/18
AB Cervical  radiculopathy  is  caused  by  compression  of  a  nerve  root  by  a  laterally  bulging  or  herniated  intervertebral  disk,  osteoarthritis,  or  degenerative  spondylosis.  Pain  results  from  injury  to  the  nerve  roots  and  nerves  innervating  the  dura,  ligaments,  facet  joints,  and  bone.  Common  clinical  features  include  pain,  paresthesia,  and  root  signs  (sensory  loss,  lower  motor  neuron  muscle  weakness,  impaired  reflexes,  and  trophic  changes).  Frequently,  there  is  numbness  and  tingling  following  a  dermatomal  distribution.  Magnetic  resonance  imaging  (MRI)  is  the  test  of  choice  to  distinguish  cervical  radiculopathy  from  disk  and  bone  disease.  Electromyelography  studies  may  also  be  helpful  in  ruling  out  other  disease  processes.  Trauma,  myelopathy,  plexopathy,  neurofibromatosis,  metastatic  tumor  infiltration  of  nerve  roots,  neoplasm,  shingles,  and  central  cord  syndrome  should  be  considered  in  the  differential.