Differential Diagnosis for Cervical Radiculopathy in a 53F
Single Most Likely Diagnosis
- Cervical spondylosis: This is the most common cause of cervical radiculopathy, especially in individuals over 50. It is due to wear and tear on the spine, leading to disc degeneration and nerve root compression.
Other Likely Diagnoses
- Herniated cervical disc: A herniated disc can compress or irritate a nerve root, causing radiculopathy. This condition is common and can be caused by trauma, heavy lifting, or sudden movement.
- Cervical foraminal stenosis: This condition involves narrowing of the foramina, which are the openings through which the nerve roots exit the spinal canal. Stenosis can compress the nerve roots, leading to radiculopathy.
- Thoracic outlet syndrome: Although less common, thoracic outlet syndrome can cause cervical radiculopathy-like symptoms due to compression of the brachial plexus.
Do Not Miss Diagnoses
- Cervical spine fracture or instability: A fracture or instability in the cervical spine can cause nerve root compression and radiculopathy. This condition requires immediate attention to prevent further injury or neurological deterioration.
- Spinal cord compression or tumor: Compression of the spinal cord or a spinal tumor can cause radiculopathy, as well as other neurological symptoms such as weakness, numbness, or bladder/bowel dysfunction.
- Infection (e.g., abscess, osteomyelitis): Infections in the cervical spine can cause radiculopathy, as well as systemic symptoms such as fever, chills, or malaise.
- Vascular disorders (e.g., vertebral artery dissection): Vascular disorders can cause radiculopathy, as well as other symptoms such as headache, dizziness, or visual disturbances.
Rare Diagnoses
- Rheumatoid arthritis or other inflammatory arthropathies: These conditions can cause cervical spine instability or inflammation, leading to radiculopathy.
- Spondyloarthritis (e.g., ankylosing spondylitis): This condition can cause inflammation and stiffness in the spine, leading to radiculopathy.
- Neurological disorders (e.g., multiple sclerosis, amyotrophic lateral sclerosis): These conditions can cause radiculopathy, as well as other neurological symptoms.