Cervical disk herniation: Difference between revisions
| Line 10: | Line 10: | ||
! Motor Deficit | ! Motor Deficit | ||
! Sensory Deficit | ! Sensory Deficit | ||
! Reflex | ! Diminished Reflex | ||
|- | |- | ||
!C5 | !C5 | ||
| Line 19: | Line 19: | ||
|- | |- | ||
!C7 | !C7 | ||
|| || || | ||Triceps & Wrist flexion||Index/Middle/Ring Paresthesia||Triceps | ||
|- | |- | ||
!C8 | !C8 | ||
|| || || | ||Index/Middle distal phlnx flexion||Small Finger Paresthesia|| | ||
|} | |} | ||
Revision as of 16:33, 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 | Diminished Reflex |
|---|---|---|---|
| C5 | Deltoid & Biceps | Biceps | |
| C6 | Brachioradialis & Wrist extension | Thumb Paresthesia | Brachioradialis |
| C7 | Triceps & Wrist flexion | Index/Middle/Ring Paresthesia | Triceps |
| C8 | Index/Middle distal phlnx flexion | Small Finger Paresthesia |
Differential Diagnosis
Workup
Management
- MRI required for definitive diagnosis