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Cervical angina.

B Jacobs1

  • 1Spine Service, Hospital for Special Surgery, Cornell University Medical College, New York, NY 10021.

New York State Journal of Medicine
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

Cervical angina, or pseudoangina, caused by cervical spondylosis, often misdiagnosed, can be effectively treated with conservative methods or surgery. This study highlights successful outcomes in 164 patients over 22 years.

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Area of Science:

  • Neurology
  • Orthopedics
  • Cardiology

Background:

  • Cervical angina, also known as pseudoangina, mimics true angina pectoris.
  • It arises from cervical spondylosis and subsequent nerve root compression.
  • Patients often experience delayed diagnosis, consulting multiple cardiologists.

Purpose of the Study:

  • To describe the clinical presentation and treatment outcomes of cervical angina.
  • To evaluate the efficacy of both conservative and surgical interventions.

Main Methods:

  • Retrospective analysis of 164 patients treated over 22 years.
  • Inclusion of demographic data, symptom duration, diagnostic methods, and treatment regimens.
  • Assessment of outcomes following conservative and surgical treatments.

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Main Results:

  • Average symptom duration before diagnosis was ten months.
  • Common symptoms included neck pain, stiffness, occipital headache, and arm pain.
  • Non-surgical treatment (hard collar, traction, exercise, medication) was effective for the majority.
  • Surgical intervention (anterior disc excision, spine fusion) was required in 38 cases, with high success rates.

Conclusions:

  • Cervical angina is a distinct clinical entity often misdiagnosed.
  • Conservative management provides satisfactory relief for most patients.
  • Surgical intervention is effective for persistent disability due to nerve root compression.