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Cervical spinal nerve 4, also called C4, is a spinal nerve of the cervical segment. It originates from the spinal cord above the 4th cervical vertebra (C4). It contributes nerve fibers to the phrenic nerve , the motor nerve to the thoracoabdominal diaphragm .
C4 and C5 are the areas that see the highest amount of cervical spine trauma. [ 8 ] If it does occur, however, it may cause death or profound disability, including paralysis of the arms, legs, and diaphragm , which leads to respiratory failure .
A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. [1] [2] These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. [1]
Kehr's sign is a classic example of referred pain: irritation of the diaphragm is signaled by the phrenic nerve as pain in the area above the collarbone. This is because the supraclavicular nerves have the same cervical nerves origin as the phrenic nerve, C3, C4, and C5. [citation needed]
They are located laterally to the transverse processes between prevertebral muscles from the medial side and vertebral (m. scalenus, m. levator scapulae, m. splenius cervicis) from lateral side. There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5]
Some referred pain due to visceral sensations refer to dermatomes that send fibers to the same level of spinal cord. A dermatome is an area of skin supplied by sensory neurons that arise from a spinal nerve ganglion. Symptoms that follow a dermatome (e.g. like pain or a rash) may indicate a pathology that involves the related nerve root ...
the scapular region encompassing the scapulae and the area around, the dorsal region encompassing the upper back; the lumbar region encompassing the lower back. the sacral region occurring at the end of the spine, directly above the buttocks. The regions of the back of the arms, from superior to inferior, include the cervical region ...
Retrolisthesis can be classified as a form of spondylolisthesis, since spondylolisthesis is often defined in the literature as displacement in any direction. [1] [2] Yet, medical dictionaries usually define spondylolisthesis specifically as the forward or anterior displacement of a vertebra over the vertebra inferior to it (or the sacrum).
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