계명대학교 의학도서관 Repository

C4 Radiculopathy without Myelopathy

Metadata Downloads
Affiliated Author(s)
이소영김두환
Alternative Author(s)
Lee, So YoungKim, Du Hwan
Journal Title
Keimyung Medical Journal
Issued Date
2013
Keyword
Cervical spineDiaphragmRadiculopathy
Abstract
A radiculopathy above C3-C4 level without myelopathy is rare and difficult to diagnose on physical examination and radiologic findings. We report these three C4 radiculopathy without myelopathy, and discuss clinical manifestations and treatment strategy. The first case was a 50-year-old male patient with a 3-week history of persistent pain and severe allodynia in the distribution of the left posterior neck and anterior chest wall area who had no specific trauma history. The second was a 65-year-old female with vague and intermittent shock-like pain in the right posterior neck after traffic accident. The third was a 63-year-old female with tingling sensation and paresthesia in the right posterior neck area who had an underlying cervical dystonia during one year. On physical examination, all patients had no specific motor weakness in the limbs and no upper motor neuron signs. But, the second case showed a suspicious asymmetry of diaphragm. All patients revealed abnormal sensory test findings such as allodynia, hypoesthesia, or dysesthesia on light touch and pin prick in C3-C4 dermatomal area. The plain radiographs and magnetic resonance imaging (MRI) of the cervical spine of all patients showed C3-C4 neural foraminal stenosis and no evidence of cervical spinal cord compression suggesting isolated C4 radiculopathy without myelopathy. Two patients had good results with conservative management, and one patient had an anterior cervical disc discectomy and fusion.
Alternative Title
C4 Radiculopathy without Myelopathy
Department
Dept. of Rehabilitation Medicine (재활의학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.32(1) : 61-68, 2013
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15596
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2013
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
Authorize & License
  • AuthorizeOpen
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.