62-year-old female involved in a T Bone motor vehicle accident. 

Patient was involved in a T bone on the driver side by a car traveling at a moderate rate of speed.  Her head hit the driver’s side window.  The distance from the center of her sitting position in the car to the window is 16”. The patient was alert, oriented and able to remove herself from the vehicle via the passenger door as the driver’s door was caved in.  She did not present with dizziness or pain at the time of the incident.

She proceeded with her normal activities which included a heavy travel schedule of flying and luggage management over the next four days.  On returning she noted bilateral numbness presenting throughout both upper extremities.  She saw her Primary Physician 10 days after the accident and was given a diagnosis of bilateral radiculopathy.  An MRI was ordered and although it showed degeneration, nothing specific was noted by the radiologist.

MRI

Question: Given the history of the accident, what tests would you have done and what diagnostics would you have ordered.  Are you concerned about the bilateral symptoms?