cervical radiculopathy

14 Feb

LIKELY CULPRITS:

Disc herniation accounts for 20-25% of young pt’s cervical radiculopathy

foraminal narrowing is the most common cause of elderly pt’s symptoms. 

–Risk factors are manual labor, smoking, and driving/operating vibrating equipment.

MRI IN ED? 

–As in lumbar radiculopathy, MRI is the appropriate test but should be limited to those symptomatic after 4-6 weeks of nonsurgical treatment given high frequency of abnormalities detected in asymptomatic adults.


Submitted by T. Boyd.

Reference(s): Carette et al. Cervical Radiculopathy. NEJM. 2005; 353:392-399. Malanga et al. Cervical Radiulopathy. Emedicine. picture
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