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KMID : 0860920170190010042
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2017 Volume.19 No. 1 p.42 ~ p.46
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Bilateral Cervical Radiculopathy Misunderstanding as Feigning Illness - A Case Report -
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Kim Yun-Tae
Kim Soo-A
Oh Ki-Young
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Abstract
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Most of cervical radiculopathy appears unilaterally. We report a case of bilateral cervical radiculopathy initially misunderstanding as feigning illness. A 49-year-old man presented with severe weakness of bilateral upper extremities after neck trauma. Clinically he was thought to be developed cervical spinal cord or spinal nerve root injury, and cervical spine MRI was performed. But there were no findings related to disc herniation or spinal cord injury except bulging disc in C5-6 vertebra. He was suspected of malingering for insurance benefit. At 14 days, the electrodiagnostic (EDX) test was performed and the result was compatible with bilateral C5 radiculopathy. There is no gold standard for the diagnosis of cervical radiculopathy, as clinical, radiological, and electrophysiological tests. Even with the widespread use of MRI, EDX test continues to play an important role in the evaluation of radiculopathy.
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KEYWORD
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cervical radiculopathy, magnetic resonance image, electrodiagnostic test
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