Cervical disk herniation
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