Cervical Radiculopathy Differential Diagnosis
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Questions and Answers

What is a common complaint of patients with C2-4 radiculopathy?

  • Pain or numbness from the neck to the radial side of the biceps
  • Occipital or temporal pain extending to the back of the ear or side of the neck (correct)
  • Difficulty in breathing
  • Weakness in shoulder abduction

    • What can C3 and C4 radiculopathies lead to?

  • Weakness in shoulder abduction
  • Diaphragmatic weakness and paradoxical respiration (correct)
  • Dermatomal distribution of lower cervical spinal nerves
  • Pain or numbness from the neck to the radial side of the biceps

    • What symptoms are similar between C5 radiculopathy and a rotator cuff tear?

  • Pain or numbness from the neck to the radial side of the biceps
  • Weakened shoulder abduction (correct)
  • Occipital or temporal pain extending to the back of the ear or side of the neck
  • Diaphragmatic weakness and paradoxical respiration

    • What condition can mimic C6 radiculopathy?

    <p>Carpal tunnel syndrome (CTS)</p> Signup and view all the answers

    What is a characteristic complaint of a patient with C6 radiculopathy?

    <p>Pain or numbness from the neck to the radial side of the biceps</p> Signup and view all the answers

    What is a distinguishing feature between C5 radiculopathy and a rotator cuff tear?

    <p>Shoulder pain during passive exercise or tenderness</p> Signup and view all the answers

    What is a potential consequence of C3 and C4 radiculopathies?

    <p>Diaphragmatic weakness and paradoxical respiration</p> Signup and view all the answers

    What is a common complaint of patients with C2-4 radiculopathy?

    <p>Occipital or temporal pain extending to the back of the ear or side of the neck</p> Signup and view all the answers

    Which test may be positive in patients with carpal tunnel syndrome (CTS)?

    <p>Tinel’s sign</p> Signup and view all the answers

    What is a common manifestation of CTS?

    <p>Thenar muscle atrophy</p> Signup and view all the answers

    Which nerve root is most frequently involved by cervical radiculopathy?

    <p>C7</p> Signup and view all the answers

    What can entrapment of the posterior interosseous nerve be mistaken for?

    <p>Motor component of C7 radiculopathy</p> Signup and view all the answers

    What is a characteristic complaint of a patient with C8 radiculopathy?

    <p>Profound weakness of the intrinsic hand muscles</p> Signup and view all the answers

    What can ulnar entrapment at the level of the elbow cause?

    <p>Clinical tenderness along the medial side of the elbow</p> Signup and view all the answers

    What is a distinguishing feature between C6 radiculopathy and C7 radiculopathy?

    <p>Patients with C7 radiculopathy express symptoms by pronating the forearms</p> Signup and view all the answers

    What is a common complaint of patients with cubital tunnel syndrome?

    <p>Hypothenar muscle weakness</p> Signup and view all the answers

    What is a distinguishing characteristic of posterior interosseous neuropathy compared to C7 radiculopathy?

    <p>Absence of sensory changes</p> Signup and view all the answers

    Which test may be positive in patients with carpal tunnel syndrome (CTS)?

    <p>Tinel’s sign</p> Signup and view all the answers

    Which nerve entrapment may be mistaken for the motor component of C7 radiculopathy?

    <p>Posterior interosseous nerve</p> Signup and view all the answers

    What may patients with C7 radiculopathy often express symptoms by doing?

    <p>Pronating the forearms</p> Signup and view all the answers

    What clinical features may be present in ulnar entrapment at the level of the elbow (cubital tunnel syndrome)?

    <p>Clinical tenderness along the medial side of the elbow and hypothenar muscles</p> Signup and view all the answers

    What do patients with C8 radiculopathy complain of?

    <p>Profound weakness of the intrinsic hand muscles and difficulty using their hands in daily life</p> Signup and view all the answers

    Which muscle atrophy is manifested in carpal tunnel syndrome (CTS)?

    <p>Thenar muscle</p> Signup and view all the answers

    What motor deficits are common in association with C6 radiculopathy?

    <p>Wrist extensors and biceps</p> Signup and view all the answers

    Which reflexes may be changed in association with C6 radiculopathy?

    <p>Brachioradialis and biceps reflexes</p> Signup and view all the answers

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