Neuro Rheum

Question 1

Describe the motor/sensory of the following radiculopathies:
C5, C6, C7, C8

Answer 1

Motor//////sensory
C5: Deltoid, biceps/////Lateral upper arm
C6: Wrist extensors, biceps/////Lateral forearm, thumb, index finger (aka “six-shooter)
C7: Wrist flexor, finger extensors (forms 7), triceps/////Middle finger
C8: Finger flexors (forms 8), thumb extensor, hand intrinsics/////Medial forearms, ring and little finger

Question 2

Young female, has sudden onset HA. Normal ESR/CRP, and CSF.
CTA Head sows areas of ectasia, stenosis, and beading in multiple vessels.

Answer 2

Reversible cerebral vasoconstriction syndrome (RCVS)
TX: high dose CCBs