Obvious C8-T1 radiculopathy with hand weak spot as a result of mid-cervical spondylosis.
J Clin Neurosci. 2018 Jan;47:111-115
Authors: Sadeh M, Dabby R
Hand weak spot and losing within the setting of mid-cervical spondylosis and disc herniation with out radiological proof for compression of the C8 or T1 roots has been not often reported. We retrospectively studied the information of sufferers with hand weak spot and mid-cervical spondylosis. The scientific and radiological findings have been in comparison with a management group of sufferers with weak spot of the arm or forearm muscle tissue and related mid-cervical spondylosis. We discovered 19 sufferers with weak spot and atrophy of the intrinsic hand muscle tissue, and 13 sufferers with weak spot proximal to the hand muscle tissue to function a management group. Eleven sufferers (58%) had decrease limb hyperreflexia or Babinski signal. 9 sufferers (47%) had compression of the C7 root, 12 sufferers (63%) had compression of C6, eight sufferers (42%) had compression of C5, and a pair of sufferers (11%) had compression of the foundation C4. In all however three sufferers (84%), magnetic resonance imaging (MRI) confirmed twine compression. Within the management group, 5 sufferers (38%) confirmed hyperreflexia of the decrease limbs and Babinski signal. 5 sufferers (38%) had compression of the C7 root, eight sufferers (62%) had compression of C6, and twelve sufferers (92%) had compression of C5. Wire compression was present in eight sufferers (62%). Hand muscle weak spot and losing as a result of mid-cervical spondylosis appears to be extra frequent than often believed. The dearth of clinical-radiological correlation mustn’t mislead the clinician from the proper prognosis, and mustn’t delay the surgical decompression of the twine and the roots.
PMID: 29097135 [PubMed – indexed for MEDLINE]