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Radiculopathy of the eighth cervical nerve
David G Greathouse1, Anand Joshi
1Texas Physical Therapy Specialists, New Braunfels, TX, USA. greathoused1@yahoo.com
The Journal of Orthopaedic and Sports Physical Therapy
|October 26, 2010
Summary
This case study highlights an unusual C8 radiculopathy presentation diagnosed using physical exams, electrodiagnostic studies (EMG/NCS), and imaging. Early diagnosis and surgical intervention led to symptom improvement.
Area of Science:
- Neurology
- Neurosurgery
- Diagnostic Imaging
Background:
- Cervical radiculopathy, specifically C8 nerve root involvement, is infrequently diagnosed.
- This case presents an atypical C8 radiculopathy without typical cervical or upper extremity symptoms.
Observation:
- A 49-year-old male with forearm and hand symptoms was initially suspected of having ulnar neuropathy.
- Physical examination, electromyography (EMG), and nerve conduction studies (NCSs) revealed C8 radiculopathy.
- Enhanced MRI confirmed a C7-T1 herniation compressing the C8 motor root.
Findings:
- Surgical intervention (C7-T1 laminectomy, foraminotomy, disk excision) successfully decompressed the C8 motor root.
- Postoperatively, the patient experienced reduced pain, paresthesia, and improved hand strength.
Implications:
- This case underscores the importance of a multimodal diagnostic approach for C8 radiculopathy.
- Accurate diagnosis through physical examination, electrodiagnostic testing, and imaging is crucial for effective treatment and improved patient outcomes.
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