Bilateral cervical radiculopathy misunderstanding as feigning illness –A Case Report–
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Most of cervical radiculopathy appears unilaterally. We report a case of bilateral cervical radiculopathy initially misunderstanding as feigning illness. A 49-year-old man presented with severe weakness of bilateral upper extremities after neck trauma. Clinically he was thought to be developed cervical spinal cord or spinal nerve root injury, and cervical spine MRI was performed. But there were no findings related to disc herniation or spinal cord injury except bulging disc in C5-6 vertebra. He was suspected of malingering for insurance benefit. At 14 days, the electrodiagnostic (EDX) test was performed and the result was compatible with bilateral C5 radiculopathy. There is no gold standard for the diagnosis of cervical radiculopathy, as clinical, radiological, and electrophysiological tests. Even with the widespread use of MRI, EDX test continues to play an important role in the evaluation of radiculopathy.
Abstract
Most of cervical radiculopathy appears unilaterally. We report a case of bilateral cervical radiculopathy initially misunderstanding as feigning illness. A 49-year-old man presented with severe weakness of bilateral upper extremities after neck trauma. Clinically he was thought to be developed cervical spinal cord or spinal nerve root injury, and cervical spine MRI was performed. But there were no findings related to disc herniation or spinal cord injury except bulging disc in C5-6 vertebra. He was suspected of malingering for insurance benefit. At 14 days, the electrodiagnostic (EDX) test was performed and the result was compatible with bilateral C5 radiculopathy. There is no gold standard for the diagnosis of cervical radiculopathy, as clinical, radiological, and electrophysiological tests. Even with the widespread use of MRI, EDX test continues to play an important role in the evaluation of radiculopathy.
참고문헌 (9)
- Carette S, "Cervical radiculopathy", New England Journal of Medicine, 353, pp.392~399 (2005)
- Bogduk N, "The anatomy and pathophysiology of neck pain", Physical Medicine and Rehabilitation Clinics of North America, 14, pp.455~472 (2003)
- Radhakrishnan K, "Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990", Brain, 117, pp.325~335 (1994)
- Caridi JM, "Cervical radiculopathy: a review", HSS Journal : The Musculoskeletal Journal of Hospital for Special Surgery, 7, pp.265~272 (2011)
- Brown BM, "Preoperative evaluation of cervical radiculopathy and myelopathy by surface-coil MR imaging", American Journal of Neuroradiology, 9, pp.859~866 (1988)
- Saal JS, "The role of inflammation in lumbar pain", Spine, 20, pp.1821~1827 (1995)
- Malanga GA, "The diagnosis and treatment of cervical radiculopathy", Medicine and Science in Sports and Exercise, 29, pp.S236~S245 (1997)
- Preston DC, "Electromyography and neuromuscular disorders: clinical-electrophysiologic correlations" (2013), Elsevier Saunders
- Rubinstein SM, "A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy", European Spine Journal : Official Publication of The European Spine Society, The European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 16, pp.307~319 (2007)