A rare case of radiculopathy
- S Anuradhaa,
- N P Singha,
- K S Anandb,
- A Prasadb
- aDepartment of Medicine, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi, India, bDepartment of Neurology, Institute of Human Behaviour and Allied Sciences, Shahdara, Delhi, India
- Dr S Anuradha, 3B/4, First Floor, Ganga Ram Hospital Road, New Delhi - 110060, India
- Accepted 8 June 1998
A 25-year-old man presented with a 2-month history of pain in the lower neck and upper back with radiation along the inner aspect of the left upper limb, increasing on neck movements and straining. There was an associated history of progressive weakness and wasting of the left hand and an inability to perform skilled, fine movements with it. There was a complete loss of all sensations over the inner aspect of hand (ring and little finger) and inner aspect of the forearm. The rest of the left upper limb, the right upper limb and both the lower limbs were normal. There were no abnormal movements and no bowel or bladder disturbances. There was no history of fever, anorexia, weight loss, lassitude, bleeding tendencies, bone pains, or significant past or family history of similar complaints.
Examination revealed a young man, with a pulse rate of 82 beats/min, regular, and blood pressure 110/70 mmHg with pallor. There were no petechiae, lymphadenopathy, bone pains or rash. The chest, cardiovascular and abdominal examinations were normal. Nervous system examination revealed normal higher mental functions and no cranial nerve involvement. Both the lower limbs and the right upper limb were normal. Marked wasting of the small muscles …
