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

Disposition

See Also

External Links

References