Atypical cervical radiculopathy presenting with brachioradial pruritus: illustrative cases

J Neurosurg Case Lessons. 2024 Feb 19;7(8):CASE23715. doi: 10.3171/CASE23715. Print 2024 Feb 19.

Abstract

Background: Brachioradial pruritus (BRP) is a rare form of chronic dysesthesia characterized by persistent itching, burning, or tingling commonly involving the dorsolateral upper extremities. Although the exact pathophysiology remains unclear, the condition may be a manifestation of atypical cervical radiculopathy.

Observations: The authors describe two patients with BRP, a 44-year-old female and a 51-year-old male, both of whom benefited from surgical intervention for atypical cervical radiculopathy, while also highlighting their presentation, diagnostic testing, treatment, and outcomes.

Lessons: The cases demonstrate the potential relationship between cervical spondylosis and BRP while examining the role of surgical intervention as a treatment option.

Keywords: artificial disc replacement; atypical cervical radiculopathy; brachioradial pruritus; surgery.