On October 23rd, 2014, we updated our
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• Weakness may involve long flexor muscles,triceps, finger extensors and intrinsic muscles
• Diminished sensation in ring and little finger and on xthe medial border of the hand and forearm
• Triceps jerk may be depressed.
MRI cervical spine: is now the investigation of choice and has almost completely replaced both myelography and CT .
The cervical myelogram using water-based non-ionic iodine contrast material was a most useful investigation for determining the presence and site of the disc herniation .
CT scanning by itself is frequently not helpful, but if performed following intrathecal iodine contrast it will demonstrate a disc herniation, and smaller volumes of intrathecal contrast are necessary than with myelography
Most patients with cervical disc herniation achieve good pain relief with conservative treatment
Bed rest ,cervical collar, simple analgesic medication, non-steroidal anti-inflammatory medication and muscle relaxants.
The most commonly performed operations
for cervical disc prolapse are:
Cervical foraminotomy with excision of the disc prolapse.