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