British Journal of General Practice 2018

Presenting by :
Aditya Sadewa
Rijalun Arridho
Deskafiani Putri
 Introduction
The prevalence of neck pain is 30–50%
of adults will experience neck pain in
any given year isebabkan infeksi maupun
non infeksi

Cervical radiculopathy is much less

cervical myelopathy is poorly common: it has been estimated to
quantified but studies have affect around 100 per 100 000 males
estimated it to be around 4 and 60 per 100 000 females
per 100 000
Definition
Cervical radiculopathy is due to
compression or irritation of either or both
of the dorsal (sensory) and ventral (motor)
roots of a cervical nerve at one or more
vertebral levels
compression

intervertebral disc osteophyte

herniation formation

mass effects near

the exit foramen of
the cervical spine
lower motor neurone symptoms of
cervical radiculopathy
arm
pain

sensory
weakness
loss

neck pain
Cervical myelopathy is spinal cord
dysfunction due to compression
caused by narrowing of the spinal
canal
compression

disc herniation spondylosis

congenital
stenosis
 Cervical
myelopathy

UMN LMN
Red flags

1 2 3 4 5

Cancer, Malaise, fever, Pain that is History Lymphadenopathy

infection, or unexplained increasing inflammatory
inflammation weight loss unremitting, or arthritis, cancer,
disturbs sleep tuberculosis,
immunosuppressi
on, drug abuse,
AIDS, or other
infection
 Cervical Myelopathy
Presenting feature are often non-specific
- Clumsiness of hands and feet
- Decrease manual dexterity
- Unsteady gait
- Cervical pain may be present
- Numbness and tingling
- Urinary and bowel symptom
 Cervical Myelopathy
Upper motor neuron sign
- Brisk reflex
- Babinski reflex
- Hoffman test
- Clonus
 Cervical Radiculopathy
Presenting symptom :
- Pain in the neck with radiation down shoulder
and arm in a dermatomal distribution
- Generalized non dermatomal arm ache
- Occipital headache
- Interscapular pain
- Unilateral dermatomal numbness and tingling
[C5-C7 level are most commonlt affected)
- Motor symptom less common usually unilateral
in myotomal distribution