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Bilateral cervical radiculopathy misunderstanding as feigning illness –A Case Report–
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논문 기본 정보

Type
Academic journal
Author
Journal
Electrodiagnostic Medicine 대한근전도 전기진단의학회지 대한근전도 전기진단의학회지 제19권 제1호 KCI Accredited Journals
Published
2017.1
Pages
42 - 46 (5page)

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Bilateral cervical radiculopathy misunderstanding as feigning illness –A Case Report–
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Abstract· Keywords

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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.
#Cervical radiculopathy #magnetic resonance image #electrodiagnostic test

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References (9)

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Bogduk N / 2003 / The anatomy and pathophysiology of neck pain / Physical Medicine and Rehabilitation Clinics of North America 14 : 455 ~ 472 google schola Brown BM / 1988 / Preoperative evaluation of cervical radiculopathy and myelopathy by surface-coil MR imaging / American Journal of Neuroradiology 9 : 859 ~ 866 google schola Carette S / 2005 / Cervical radiculopathy / New England Journal of Medicine 353 : 392 ~ 399 google schola Caridi JM / 2011 / Cervical radiculopathy: a review / HSS Journal : The Musculoskeletal Journal of Hospital for Special Surgery 7 : 265 ~ 272 google schola Malanga GA / 1997 / The diagnosis and treatment of cervical radiculopathy / Medicine and Science in Sports and Exercise 29 : S236 ~ S245 google schola

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