nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2022-5-103-108nnp-1899Research ArticleREVIEWSОБЗОРЫCervical radiculopathyЦервикальная радикулопатияhttps://orcid.org/0000-0003-4950-144XИсайкинА. И.IsaikinA. I.

кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского,

119021, Москва, ул. Россолимо, 11, стр. 1  

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine,

11, Rossolimo St., Build. 1, Moscow 119021

alexisa68@mail.ruШмидтТ. Е.SchmidtT. E.

кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского,

119021, Москва, ул. Россолимо, 11, стр. 1  

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine,

11, Rossolimo St., Build. 1, Moscow 119021

https://orcid.org/0000-0003-4132-8566ШорЮ. М.ShorYu. M.

Клиника нервных болезней им. А.Я. Кожевникова,

119021, Москва, ул. Россолимо, 11, стр. 1  

A.Ya. Kozhevnikov Clinic of Nervous System Diseases,

11, Rossolimo St., Build. 1, Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation202225102022145103108Copyright © Isaikin A.I., Schmidt T.E., Shor Y.M., 20222022Исайкин А.И., Шмидт Т.Е., Шор Ю.М.Isaikin A.I., Schmidt T.E., Shor Y.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1899

The article discusses the clinical manifestations, pathomorphology, pathogenesis and various treatment methods of cervical radiculopathy (CR). Article points out diagnostic difficulties arising from the frequent discrepancy between clinical and neuroimaging data. The issues of choice of conservative and surgical treatment are discussed, based on the analysis of data from recent systematic reviews.

In the absence of focal neurological symptoms, radicular compression is unlikely. The natural course of CR is favorable. Rehabilitation programs are used as the first line of treatment, including a combination of education, exercise, manual therapy, psychological and pharmacological methods. Drug therapy for CR starts with non-steroidal anti-inflammatory drugs administration; to achieve the effect quickly, it is possible to use aceclofenac (Aertal) in the form of a powder for suspension. 

В статье рассматриваются клинические проявления, патоморфология, патогенез и различные методы лечения цервикальной (шейной) радикулопатии (ЦР), указывается на диагностические сложности, возникающие из-за частого несовпадения клинических и нейровизуализационных данных. Обсуждаются вопросы выбора консервативного и хирургического лечения, основанные на анализе данных последних систематических обзоров.

При отсутствии очаговой неврологической симптоматики корешковая компрессия маловероятна. Естественное течение ЦР благоприятное. В качестве первой линии лечения используются реабилитационные программы, включающие комбинацию обучения, физических упражнений, мануальной терапии, психологических и фармакологических методов. Медикаментозную терапию ЦР начинают с назначения нестероидных противовоспалительных средств, для быстрого достижения эффекта возможно использование ацеклофенака (Аэртала) в виде порошка для приготовления суспензии. 

цервикальная радикулопатияконсервативная терапиямультимодальный подходгимнастикахирургическое лечениенестероидные противовоспалительные средстваацеклофенакводорастворимые формы нестероидных противовоспалительных средствсашеcervical radiculopathyconservative therapymultimodal approachgymnasticssurgerynon-steroidal anti-inflammatory drugsaceclofenacwater-soluble forms of non-steroidal anti-inflammatory drugssachetСтатья спонсируется компанией «Гедеон Рихтер».This article has been supported by Gedeon Richter.ReferencesBono CM, Ghiselli G, Gilbert TJ, et al. An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders. Spine J. 2011;11(1):64-72. doi: 10.1016/j.spinee.2010.10.023Bono CM, Ghiselli G, Gilbert TJ, et al. An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders. 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The authors declare that there are no conflicts of interest present.