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  • Sodobne diagnostične preiskave pri bolniku z radikulopatijo = Diagnostic tests for assessing patients with radiculopathies
    Zidar, Janez ; Knific, Jernej
    Radicular pain characteristically radiates from the involved spinal region into the corresponding sensory dermatome and is aggracated by manoeuvres that increase the intraspinal pressure and strech ... the affected root. It is ususallyaccompanied by objective demonstration of sensory loss and the presence of motor weakness. Diagnosis is largely clinical. Laboratory methods (neuroimaging, electrophysiology) that confirm the clinical impression are applied when surgery is planned or in cases when other causes of pain are to be ruled out. Basic radiograms are rarely helpful and are in practice overused. In our hospital computerised tomographic (CT) myelography is still the most frequently utilised, while in recent years, magnetic resonance imaging (MRI), which is not painful, is becoming more prevalent. It is, however, inferior to CT scans. Most recently, MRI with myelography has gained importance and, in the developed countries, it already represents the first and often the only test to confirm clinical diagnosis. At presebt, the most sensitive test for substantiating possible root affection is contrast enhancedMRI. Classifical MRI scans are unfortunately not specific and detect abnormalities also in 33-52% of asymptomatic subjects. On the other hand, MRI cannot confirm all types of radiculopathies (e.g. diabetic, inflammatory, paraneoplastic). Because of these MRI limitations there is a definite role of needle electromyography (EMG) in the work-up of radiculopathy. In contrast to MRI which reveals structural abnormalities, EMG identifies physiological abnormalities. It is indicated in cases when MRI is unrevealing, when there isa discrepancy between the MRI and clinical findings, and in cases when radiculopathy cannot be differentiated clinically from plexopathy or mononeuropathy. And, of course, when neuroimaging is not available.
    Vir: Zdravstveno varstvo : Slovenian journal of public health. - ISSN 0351-0026 (Letn. 39, št. 7/8, 2000, str. 160-164)
    Vrsta gradiva - članek, sestavni del
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 12386265

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