keyword
https://read.qxmd.com/read/38408348/microvascular-decompression-of-a-vertebral-artery-loop-causing-cervical-radiculopathy-illustrative-case
#21
JOURNAL ARTICLE
Alexa Semonche, Lorenzo Rinaldo, Young Lee, Todd Dubnicoff, Harlan Matles, Dean Chou, Adib Abla, Edward F Chang
BACKGROUND: Vertebral artery loops are a rare cause of cervical radiculopathy. Surgical options for nerve root decompression include an anterior or posterior approach, with or without additional microvascular decompression. OBSERVATIONS: The authors describe a case of a 49-year-old man with a long-standing history of left-sided neck pain and migraines, who was found to have a vertebral artery loop in the left C3-4 neural foramen compressing the left C4 nerve root...
February 26, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38402908/cervical-radiculopathy-secondary-to-vertebral-artery-dissection-clinical-features-and-outcomes
#22
REVIEW
Bilal Bucak, Muhammed A Essibayi, Carmen R Holmes, Ana I Casanegra, Giuseppe Lanzino, Zafer Keser
PURPOSE: Cervical radiculopathy due to various mechanical causes is commonly seen, however, cervical vertebral artery dissection (cVAD)-related radiculopathy is very rare with poorly characterized clinical outcomes. Thus, we conducted a systematic review of published literature and reported an institutional case to provide a better illustration of this rare entity. METHODS: We systematically reviewed the PubMed literature and queried the clinical database at our center for cVAD-related radiculopathy...
February 25, 2024: Neurological Research
https://read.qxmd.com/read/38400903/efficacy-of-dai-wen-moxibustion-cream-on-the-treatment-of-cervical-spondylosis-with-nerve-root-type-caused-by-cold-dampness-obstruction
#23
JOURNAL ARTICLE
Xinnian Guo, Suotang Kou, Bai Yang, Junfeng Zhang
OBJECTIVE: This study aimed to assess the clinical efficacy of Dai Wen Moxibustion Cream in the treatment of cervical spondylosis with cold dampness obstruction nerve root type. METHODS: A retrospective analysis was conducted on a cohort of 110 patients diagnosed with cervical spondylotic radiculopathy. Based on the treatment method, the patients were divided into two groups. The control group received electroacupuncture treatment, while the observation group received a combination of Dai Wen Moxibustion Cream and electroacupuncture treatment...
February 24, 2024: International Journal of Neuroscience
https://read.qxmd.com/read/38385230/-influence-of-preoperative-symptom-duration-on-effectiveness-of-cervical-disc-arthroplasty-in-cervical-spondylotic-radiculopathy-patients
#24
JOURNAL ARTICLE
Yi Li, Junbo He, Tingkui Wu, Chen Ding, Beiyu Wang, Hao Liu
OBJECTIVE: To investigate the influence of preoperative symptom duration on effectiveness of cervical disc arthroplasty (CDA) in cervical spondylotic radiculopathy (CSR) patients. METHODS: The clinical data of 90 CSR patients who underwent single-segment CDA between January 2008 and March 2020 and met the selection criteria were retrospectively analyzed. Based on preoperative symptom duration, patients were divided into an early intervention group (preoperative symptom duration <24 months) and a late intervention group (preoperative symptom duration ≥24 months)...
February 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38373298/atypical-cervical-radiculopathy-presenting-with-brachioradial-pruritus-illustrative-cases
#25
JOURNAL ARTICLE
Kareem Khalifeh, Janneinne Le, Basel Musmar, Joseph Maroon, Adam S Kanter, Burak Ozgur
BACKGROUND: Brachioradial pruritus (BRP) is a rare form of chronic dysesthesia characterized by persistent itching, burning, or tingling commonly involving the dorsolateral upper extremities. Although the exact pathophysiology remains unclear, the condition may be a manifestation of atypical cervical radiculopathy. OBSERVATIONS: The authors describe two patients with BRP, a 44-year-old female and a 51-year-old male, both of whom benefited from surgical intervention for atypical cervical radiculopathy, while also highlighting their presentation, diagnostic testing, treatment, and outcomes...
February 19, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38369438/long-term-effectiveness-of-transforaminal-anterolateral-approach-ct-guided-cervical-epidural-steroid-injections-for-cervical-radiculopathy-treatment
#26
JOURNAL ARTICLE
Z Aldin, J K Diss, H Mahmood, T Sadik, H Basra, M Ahmed, Z Danawi, A Gul, A S Sayed-Noor
AIM: To evaluate the long-term clinical effectiveness of computed tomography (CT)-guided transforaminal cervical epidural steroid injection using an anterolateral approach for the treatment of cervical radiculopathy (CR) using well-established robust clinical scoring systems for neck pain and neck disability. Despite its widespread use, evidence to support the long-term benefit of routine cervical epidural steroid injection is currently very limited. MATERIALS AND METHODS: This study included 113 patients with magnetic resonance imaging (MRI)-confirmed CR who underwent a steroid injection at a single cervical level via a unilateral transforaminal anterolateral approach...
February 3, 2024: Clinical Radiology
https://read.qxmd.com/read/38362563/efficacy-of-neck-muscle-activation-versus-strengthening-for-adults-with-chronic-cervical-radiculopathy-a-study-protocol-for-a-randomised-clinical-trial
#27
JOURNAL ARTICLE
Farzana Sharmin, K M Amran Hossain, Feroz Kabir, Md Zahid Hossain, Sharmila Jahan, Ehsanur Rahman, Md Aminul Islam
INTRODUCTION: Chronic cervical radiculopathy is a common condition characterised by neck and arm pain, numbness and weakness. Both neck muscle activation and strengthening exercises are widely recognised treatments for cervical radiculopathy, but there is a research gap on the efficacy of neck muscle activation versus strengthening. This protocol will determine the efficacy of neck muscle activation alongside conventional care versus strengthening exercise and conventional care for cervical radiculopathy...
2024: BMJ Open Sport & Exercise Medicine
https://read.qxmd.com/read/38344086/aggressive-osteoblastoma-of-the-cervical-spine-and-resultant-complication-due-to-swollen-oxidized-regenerated-cellulose-a-case-report
#28
Harun Emre Sen, Busra Yaprak Bayrak, Volkan Etus
BACKGROUND: Osteoblastomas, although rare, are benign primary bone tumors, with cervical spine involvement being exceptionally uncommon. Late diagnosis, especially in aggressive cases, can lead to surgical challenges. Oxidized regenerated cellulose (ORC) used for hemostasis may result in complications if left in the surgical field. CASE DESCRIPTION: An 8-year-old female presented with six months of intractable neck pain accompanied by swelling, hindering proximal right upper extremity evaluation...
2024: Surgical Neurology International
https://read.qxmd.com/read/38325902/health-related-quality-of-life-is-associated-with-pain-kinesiophobia-and-physical-activity-in-individuals-who-underwent-cervical-spine-surgery
#29
JOURNAL ARTICLE
Daisuke Higuchi, Yu Kondo, Yuta Watanabe, Takahiro Miki
OBJECTIVE: To determine the association between health-related quality of life (HRQOL) and neck pain, kinesiophobia, and modalities of physical activity in individuals with postoperative degenerative cervical myelopathy and radiculopathy (DCM/R) because postoperative pain after cervical spine surgery is likely to persist, causing kinesiophobia and avoidance of physical activity. METHODS: A questionnaire was distributed to 280 individuals with DCM/R. The questionnaire comprised the following four items: HRQOL (EuroQol 5-dimensions), neck pain (numerical rating scale [NRS]), kinesiophobia (11-item Tampa Scale for Kinesiophobia [TSK-11]), and physical activity (paid work, light exercise, walking, strength training, and gardening)...
February 8, 2024: Annals of Rehabilitation Medicine
https://read.qxmd.com/read/38324787/comparison-of-selective-nerve-root-pulsed-radiofrequency-vs-paramedian-interlaminar-epidural-steroid-injection-for-the-treatment-of-painful-cervical-radiculopathy
#30
RANDOMIZED CONTROLLED TRIAL
Gokhan Yildiz, Gevher Rabia Genc Perdecioglu, Omer Taylan Akkaya, Ezgi Can, Damla Yuruk
BACKGROUND: Although there are studies evaluating ultrasound-guided selective nerve root pulsed radiofrequency (ULSD-SNRPRF) and fluoroscopy-guided paramedian cervical interlaminar epidural steroid injection (FL-CIESI) for the treatment of chronic cervical radicular pain, no study has compared the efficacy of these 2 methods. OBJECTIVES: This study aimed to compare the efficacy of these 2 methods, their superiority to each other, and the incidence of adverse events...
February 2024: Pain Physician
https://read.qxmd.com/read/38317533/letter-to-the-editor-long-term-24-months-duration-of-symptoms-negatively-impacts-patient-reported-outcomes-following-anterior-cervical-discectomy-and-fusion-for-cervical-radiculopathy
#31
JOURNAL ARTICLE
https://read.qxmd.com/read/38305349/simultaneous-versus-staged-surgery-for-double-crush-syndrome-of-cervical-radiculopathy-and-peripheral-nerve-compression-at-the-wrist-a-retrospective-single-center-study
#32
JOURNAL ARTICLE
Vadim A Byvaltsev, Andrei A Kalinin, Roman A Polkin, Alexander V Kuharev, Marat S Almatov, Marat A Aliyev, K Daniel Riew
STUDY DESIGN: Retrospective single-center study. OBJECTIVES: to evaluate the results of surgical treatment in patients with double crush syndrome associated with cervical radiculopathy and upper limb peripheral nerve compression after staged and simultaneous operations. SUMMARY OF BACKGROUND DATA: Currently, choosing the optimal diagnostic and therapeutic modalities in treating patients with double crush syndrome remains unresolved. METHODS: The study included 79 patients with double crush syndrome (cervical radiculopathy and syndrome of Guyon's canal or Carpal tunnel syndrome)...
February 2, 2024: Spine
https://read.qxmd.com/read/38298318/dystonic-tremor-as-an-atypical-presentation-of-cervical-radiculopathy
#33
Eric Chun-Pu Chu, Lucina Ng
Cervical radiculopathy often presents with neck pain, sensory disturbances, or motor weakness. This case report describes an atypical presentation of cervical radiculopathy manifesting as dystonic tremor and brachialgia, which has been documented only once previously. A 46-year-old, right-handed, male delivery worker presented with severe neck pain that gradually evolved into a dystonic tremor and sharp aching pain across his right shoulder. Despite medical intervention, his symptoms persisted, leading him to seek chiropractic care...
January 2024: Curēus
https://read.qxmd.com/read/38296722/effects-of-myofascial-release-technique-in-patients-with-unilateral-cervical-radiculopathy-a-single-blind-randomized-clinical-trial
#34
JOURNAL ARTICLE
Fatih Bali, Gülay Aras Bayram
OBJECTIVE: The aim of this study was to investigate the effectiveness of the myofascial release technique in individuals diagnosed with unilateral cervical radiculopathy. MATERIALS AND METHODS: Thirty-four cervical radiculopathy patients were randomly assigned to either the myofascial release group or the exercise group. Both groups received conventional treatment. Additionally, the exercise group performed stretching and strengthening exercises while the myofascial release group received the myofascial release technique...
January 17, 2024: Explore: the Journal of Science and Healing
https://read.qxmd.com/read/38277568/age-and-flexors-as-risk-factors-for-cervical-radiculopathy-a-new-machine-learning-method
#35
JOURNAL ARTICLE
Shixin Pan, Chong Liu, Jiarui Chen, Liyi Chen, Tuo Liang, Yongqing Ye, Xinli Zhan
This study aimed to investigate the risk factors for cervical radiculopathy (CR) along with identifying the relationships between age, cervical flexors, and CR. This was a retrospective cohort study, including 60 patients with CR enrolled between December 2018 and June 2020. In this study, we measured C2 to C7 Cobb angle, disc degeneration, endplate degeneration, and morphology of paraspinal muscles and evaluated the value of predictive methods using receiver operating characteristic curves. Next, we established a diagnostic model for CR using Fisher discriminant model and compared different models by calculating the kappa value...
January 26, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38277282/the-effect-of-cervical-traction-on-stabilometric-parameters-in-cervical-radiculopathy-patients-a-randomized-crossover-study
#36
JOURNAL ARTICLE
Anis Jellad, Amine Kalai, Ilef Abbes, Mahbouba Jguirim, Soumaya Boudokhane, Zohra Ben Salah Frih, Mohamed Hedi Bedoui
BACKGROUND: Cervical traction is effective on pain and function in patients with cervical radiculopathy but its effectiveness on balance disorders has not yet been studied. OBJECTIVE: To evaluate the effect of mechanical intermittent cervical traction (MICT) on stabilometric parameters in patients with cervical radiculopathy. METHODS: This randomized crossover study assigned 20 patients with cervical radiculopathy to one of the two groups: Group effective traction (ET)/sham traction (ST) (n= 10) treated firstly with ET (traction force of 12 Kg) then with ST (traction force of 2 Kg) with one-week interval and group ST/ET (n= 10) treated invertedly with a ST then ET...
January 3, 2024: Journal of Back and Musculoskeletal Rehabilitation
https://read.qxmd.com/read/38264153/exploring-the-incidence-and-risk-factors-of-reoperation-for-symptomatic-adjacent-segment-disease-following-cervical-decompression-and-fusion
#37
JOURNAL ARTICLE
Hania Shahzad, Paul M Alvarez, Mustaqueem Pallumeera, Nazihah Bhatti, Elizabeth Yu, Frank M Phillips, Safdar N Khan, Varun K Singh
BACKGROUND: Patients with long-term follow-up after cervical decompression and fusion have often been noted to have development of adjacent segment degeneration with a smaller subset of these patients progressing to adjacent segment disease (ASD), which results in the development of new symptomatic radiculopathy or myelopathy referable to a site either directly above or below a prior fused segment. The cause of ASD is multifactorial often involving natural age-related progression of spondylosis, accelerated progression following cervical decompression and fusion, operative technique, and patient-related factors...
March 2024: N Am Spine Soc J
https://read.qxmd.com/read/38250753/c5-nerve-root-palsy-without-prior-cervical-decompression-case-series-9-patients-with-critical-delay-to-presentation
#38
JOURNAL ARTICLE
Jacob Silver, Michael Mancini, Colin Pavano, Jordan Bauer, Gal Barkay, Isaac Moss, Scott Mallozzi
BACKGROUND: Distinguishing between cervical nerve root and intrinsic shoulder pathology can be a difficult task given the overlapping and often coexisting symptoms. OBJECTIVE: The objective of this study was to highlight the often-complicated presentation of these symptoms and the subsequent potential for delay in care regarding this subset of patients. METHODS: A total of 9 patients, managed by one of two different surgeons, were identified with a history of C5 nerve root palsy...
December 11, 2023: Journal of Back and Musculoskeletal Rehabilitation
https://read.qxmd.com/read/38246605/a-case-of-spinal-cord-infarction-presenting-with-unilateral-c5-palsy
#39
JOURNAL ARTICLE
Tatsuki Matsuda, Takahiko Taniguchi, Misaki Hanya, Keisuke Kitani, Hisashi Takahashi, Takashi Kasai
A 75-year-old man developed sudden-onset tetraparesis preceded by chest pain. MRI of the cervical spine on the day of onset showed no abnormalities. Although his motor symptoms improved gradually, the weakness of the muscles innervated by the C5 nerve root persisted. Sensory and autonomic deficits were detected on an additional neurological examination, and follow-up MRI eight days after onset revealed spinal cord infarction at the right anterior horn at C3-C4. This case suggests that motor symptoms mimicking a radiculopathy could be present during the course of spinal cord infarction...
January 20, 2024: Rinshō Shinkeigaku, Clinical Neurology
https://read.qxmd.com/read/38241510/the-combined-effect-of-neuro-modulation-and-neuro-stimulation-on-pain-in-patients-with-cervical-radiculopathy-a-double-blinded-two-arm-parallel-randomized-controlled-trial
#40
JOURNAL ARTICLE
Nidhi Sharma, Sidharth Bansal, Orneesh Dube, Simranjeet Kaur, Parveen Kumar, Gaurav Kapoor
INTRODUCTION: Cervical radiculopathy is one of those disabling conditions which results in central and peripheral pain and thus affects the quality of life. Transcutaneous Electrical Nerve Stimulation (TENS) and exercises produce analgesic effect but their long-term effect has not been available to date. Transcranial Direct Current stimulation (tDCS) is known to produce promising effects on central pain by targeting cortical activity. PURPOSE: To determine the combined effect of tDCS and TENS with exercises on pain and quality of life in patients with cervical radiculopathy...
January 19, 2024: Journal of Spinal Cord Medicine
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