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Cervical Radiculopathy

Cervical Radiculopathy. Raghavendra Nayak OMS IV. Cervical Radiculopathy. Anatomy Etiology Symptoms Case. Anatomy. Spinal column Cervical Vertebrae Cervical Spinal Nerve Roots. Spinal Column and The Vertebrae. 7 Vertebral Bodies Zygapophyseal Joints Uncovertebral Joints

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Cervical Radiculopathy

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  1. Cervical Radiculopathy Raghavendra Nayak OMS IV

  2. Cervical Radiculopathy • Anatomy • Etiology • Symptoms • Case

  3. Anatomy • Spinal column • Cervical Vertebrae • Cervical Spinal Nerve Roots

  4. Spinal Column and The Vertebrae • 7 Vertebral Bodies • Zygapophyseal Joints • Uncovertebral Joints • Intervertebral Joints

  5. Cervical Spinal Roots • Intervertebral Foramina • Nerve Roots

  6. Etiology • Degenerative Changes • Disc Herniations • Trauma

  7. Degeneration • AKA Spondylosis • Age related changes • Possible pathophysiology

  8. Herniation • Pathophysiology • MRI Studies

  9. Trauma • Root avulsion due to trauma • More common in younger population

  10. Symptoms • Pain • Paresthesias • Weakness • Reflexes • Lhermitte’s • Spurling’s Signs

  11. Clinical Presentation

  12. Case • 45 y/o male presenting for a consult for weakness of the left upper extremity. • CC: Continued weakness and atrophy of muscles of Left arm and forearm. • Course of injury: Dec 2011 - Suffered a “stinger” to his left upper extremity while playing basketball. Feb 2012 – couldn’t lift a gallon of milk, couldn’t do pushups, noticed his left arm was smaller than his right. Feb 2012 – EMG with Dr. Andary. March 2012 Surgery.

  13. Physical Exam findings • Physical Exam pertinent positives: Left arm and forearm smaller than right. • No paresthesias, dysesthesias. Denies numbness, tingling or pain. • Weakness (4/5) in shoulder abduction, elbow flexion, wrist extensors on the left side. MSR 2/4 bilaterally at triceps, 1/4 at brachioradialis and biceps on left, 2/4 at brachioradialis and biceps on the right. • Diagnosis

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