A case of neuropathic brachioradial pruritus caused by cervical disc herniation

This Case Study describes a 64-year-old woman who presented with a 2-year history of itch on her right dorsal forearm. The patient was diagnosed with brachioradial pruritus caused by cervical disc herniation, and the symptoms resolved after surgery to decompress the sixth cervical nerve root. Various alternative treatment options for brachioradial pruritus are discussed. Background A 64-year-old woman presented to an outpatient clinic with a 2-year history of itch, burning sensation and intermittent paresthesias within the innervation territory of the sixth cervical nerve root on the right dorsal forearm. No dermatological diseases, trauma to the affected extremity or the spine, or familial pruritus were reported. Investigations Dermatological examination, skin biopsy, laser Doppler imaging, neurological physical examination and cervical MRI scan. Diagnosis Brachioradial pruritus caused by cervical disc herniation. Management Ventral spinal fusion with cage implantation.