DOI: 10.36347/sasjm.2023.v09i10.007

Pages: 1073-1079

Cervico-brachial neuralgia (CBN) is defined as radicular topography pain of the upper limb, reflecting the suffering of one of the nerve roots of the brachial plexus: 5th, 6th, 7th, or 8th cervical root, more rarely the 1st dorsal root. This pain is characterized by a paroxysm generally nocturnal, it is spontaneous or provoked and localized on the route of the nerves exiting between the cervical vertebrae which constitute the cervical and brachial plexus. Aim: The objective of our study was on the one hand to carry out an anatomo-radiological study of lesions of the cervical spine in cervico-brachial neuralgia and on the other hand to study the radiological aspects of osteoarticular lesions of the cervical spine in cervico brachial neuralgia. Subjects and Methods: This was a prospective, cross-sectional, descriptive study concerning 250 patients collected between March 2020 and February 2022 in the medical-surgical center of the armies of Bamako. The study population consisted of consenting men and women presenting for assessment of cervico-brachial neuralgia, who performed at least one radiological examination and who showed lesions indicative of the said disease. Results: 250 patients were recruited in our. The average age was 44 years with extremes ranging from 40 to 90 years. 40% of patients were aged between 50 and 60 years. 55% of patients were female. 45% were housewives (housewives). 65% of patients had no history of trauma to the cervical spine. The C7 root was the most affected with 44.8%. The most common radiological abnormality was signs of cervical spondylosis in 90% of cases. Erosions of the vertebral endplates were the most encountered disco-somatic anomalies, i.e. 60% of patients followed by disc void with 25%. The most frequent site of osteophytes was from C5 to C8, or 80%. More than half, or 55.2%, of patients presented with bone demineralization. The most affected side was the right side, i.e. 70% of patients. Radicular pain radiated ......