6/27/2019 8:39:53 PM
Severe C8/T1 radiculopathy
I am wondering if you all have seen a C8/T1 radic present with sudden severe hand weakness. I did an EDS study for 2 -week history of dominant hand weakness. Motor nerve conduction studies showed no response in the median and very low amplitude response (0.3mV) at the ulnar recorded at the ADM. Sensory studies of median, ulnar, radial, MABC, and LABC were all normal. MRI of c-spine shows moderate to severe central and foraminal stenosis at multiple levels without cord signal change. Postive sharp waves with only one very small motor unit in the FDI and APB with reduced recruitment. Positive sharp waves in the EIP, PQ as well. Normal deltoid, biceps, triceps an pronator teres. My diagnosis is a severe C8/T1 radiculopathy but also seems more severe than I have typically seen. Contralateral side was normal. I would think chance for recovery after decompression is not great. Any thoughts? Thank you.