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English: Projectional radiograph of the neck of a 79 year old man presenting with pain at the nape and left shoulder, and radiating to the left arm. It shows stenosis of the left intervertebral foramen between cervical vertebra 3 and 4, indicating radiculopathy of cervical spinal nerve 4 .
Spinal stenosis is an abnormal narrowing of the spinal canal or neural foramen that results in pressure on the spinal cord or nerve roots. [6] Symptoms may include pain, numbness, or weakness in the arms or legs. [1] Symptoms are typically gradual in onset and improve with leaning forward. [1]
Forward displacement of a proximal vertebra in relation to its adjacent vertebra in association with an intact neural arch, and in the presence of degenerative changes, is known as degenerative spondylolisthesis, [9] [10] which narrows the spinal canal, and symptoms of spinal stenosis are common. Of these, neural claudication is most common.
White matter tracts within a human brain, as visualized by MRI tractography. A nerve tract is a bundle of nerve fibers connecting nuclei of the central nervous system. [1] [2] [3] In the peripheral nervous system, this is known as a nerve fascicle, and has associated connective tissue.
NC should therefore be distinguished from vascular claudication, which stems from a circulatory problem rather than a neural one. The term neurogenic claudication is sometimes used interchangeably with spinal stenosis. However, the former is a clinical term, while the latter more specifically describes the condition of spinal narrowing. [4]
Microneurography is a technique using metal electrodes to observe neural traffic of both myelinated and unmyelinated axons in efferent and afferent neurons of the skin and muscle. [16] This technique is particularly important in research involving C fibers. [16] Single action potentials from unmyelinated axons can be observed. [16]
There is also spondylosis of the facet joint between C2 and C3, with some foraminal stenosis at this level (upper arrow), which appears to be asymptomatic. Signs and Symptoms Radiculopathy is a diagnosis commonly made by physicians in primary care specialties, orthopedics , physiatry , and neurology .
The pyramidal tracts include both the corticobulbar tract and the corticospinal tract.These are aggregations of efferent nerve fibers from the upper motor neurons that travel from the cerebral cortex and terminate either in the brainstem (corticobulbar) or spinal cord (corticospinal) and are involved in the control of motor functions of the body.