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The clinical presentation of cervical spondylotic myelopathy can be similar to multiple sclerosis (MS) or amyotrophic lateral sclerosis (ALS), however, a hyperactive jaw reflex suggests the pathology is above the foramen magnum. In other words, a normal jaw jerk reflex points the diagnosis toward cervical spondylotic myelopathy and away from MS ...
The shoulder abduction relief test, also called Bakody's test, is a medical maneuver used to evaluate for cervical radiculopathy. [1] Specifically, this test is used to evaluate for nerve root compression at C5-C7. It is often used when a patient presents with neck pain that radiates down the ipsilateral upper extremity. [2]
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 .
The cervical branch of the facial nerve is a branch of the facial nerve (VII). It runs forward beneath the platysma muscle, and forms a series of arches across the side of the neck over the suprahyoid region. One branch descends to join the cervical cutaneous nerve from the cervical plexus.
Its primary function is the flexion of the fingers, and this is used as the clinical test for C8 integrity, in conjunction with the finger jerk reflex. [ 4 ] The particular muscles receive innervation from C8 [ 3 ] (shown by specific nerve and spinal nerve segments; muscles in italics only have a minor contribution from C8) :
The cervical spinal nerve 7 (C7) is a spinal nerve of the cervical segment. [1] It originates from the spinal column from above the cervical vertebra 7 (C7). It runs through the interspace between the C6 and C7 vertebrae.
The cervical spinal nerve 2 (C2) is a spinal nerve of the cervical segment. [1] It is a part of the ansa cervicalis along with the C1 and C3 nerves sometimes forming part of superior root of the ansa cervicalis. [2] it also connects into the inferior root of the ansa cervicalis with the C3. [2]
In the cervical region they are best developed, consisting of rounded muscular and tendinous fasciculi, and are placed in pairs, passing between the anterior and the posterior tubercles respectively of the transverse processes of two contiguous vertebrae, and separated from one another by an anterior primary division of the cervical nerve, which lies in the groove between them.