Upper motor neuron findings usually in the lower extremities.
Spasticity: Poor control of the legs when walking, scissoring of the legs.
Any loss below the level of involvement will follow spinal cord patterns:
Brown Sequard pattern.
Magnetic resonance imaging (MRI) is currently considered the imaging modality of choice in patients with cervical radiculopathy, because it does not expose patients to a radiation hazard, has excellent soft-tissue resolution, and can create multi-planar images 1) 2) 3) 4).
However, MRI requires almost 30 minutes to perform and is very sensitive to patient motion. CT requires less time to perform than MRI and is considered superior to MRI for evaluation of disc containment (e.g., bone) 9).
Multidetector row computed tomography (MDCT) and MRI showed a moderate-to-substantial degree of inter-modality agreement for the assessment of herniated cervical discs. MDCT images have a tendency to underestimate the anterior/posterior extent of the herniated disc compared with MRI 10).
Diffusion tensor imaging (DTI) can potentially be used to assess microstructural abnormalities in the cervical nerve roots in patients with disc herniation 11).
Additionally, contrast-enhanced CT 12) and CT myelography 13) remain useful imaging tools in the evaluation of cervical radiculopathy, but they carry the risk of anaphylactic reactions and nephrotoxicity with the use of iodinated contrast material.