Nerve Compression Syndromes (PDF)

Author: Fulvio Vitiello Published year: 2008 Downloads: 7
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Brief content

Definitions

Radiculopathy

•  Process affecting the nerve root, most commonly by a herniated disc:

– Weakness in muscles supplied by the nerve root (myotome)

– Sensory loss in the area of the skin supplied by the nerve root (dermatome)

Mononeuropathy

• Dysfunction of a single peripheral nerve

– Weakness in muscles supplied by the nerve

– Sensory loss in the area of the skin supplied by the cutaneous branches of the nerve

Brachial Plexopathy

• Can refer to the involvement of the entire plexus, or parts of the plexus

– Trunk lesion

– Cord lesion

• Distribution of weakness and numbness depends upon the part of the plexus affected

Sensory Supply to the Arm

• Because fibers from different nerve roots come together and then split apart in the plexus

– A dermatome may include areas of the skin supplied by different peripheral nerves

– A single nerve may supply sensation to skin covered by more than one dermatome

• Because of the pattern of root contribution to the plexus:

– An upper trunk lesion has sensory loss in the combined C5,6 dermatomes

– A middle trunk lesion has sensory loss in the C7 dermatome

– A lower trunk lesion has sensory loss in the combined C8T1 dermatomes

 

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