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Published on: April 23, 2021
Cervical spondylosis and hypertension: a clinical study of 2 cases
Baogan Peng1, Xiaodong Pang, Duanming Li
1From the Department of Spinal Surgery, General Hospital of Armed Police Force, Beijing, China.
Insights
Cervical spondylosis, a neck condition, may cause hypertension and vertigo. Anterior cervical discectomy and fusion successfully treated patients with both conditions, suggesting a link between neck health and blood pressure.
Area of Science:
- Neurology
- Cardiology
- Orthopedics
Background:
- Cervical spondylosis and hypertension are prevalent conditions.
- The relationship between cervical spondylosis and hypertension remains understudied.
- Cervical spondylosis is frequently associated with vertigo.
Observation:
- Two cases of cervical spondylosis with concurrent cervical vertigo and hypertension are presented.
- Patients were successfully treated with anterior cervical discectomy and fusion.
- This surgical intervention resolved symptoms of both cervical spondylosis and hypertension.
Findings:
- Degenerative cervical discs can stimulate sympathetic nerve fibers, potentially causing sympathetic excitation.
- This sympathetic reflex may lead to cervical vertigo and hypertension.
- Chronic neck pain associated with cervical spondylosis can contribute to hypertension via sympathetic arousal.
Implications:
- Cervical spondylosis may be a contributing factor to secondary hypertension.
- Addressing cervical spondylosis symptoms early could mitigate cardiovascular disease risk.
- This study highlights a potential link between spinal health and systemic conditions like hypertension.
Abstract:
Cervical spondylosis and hypertension are all common diseases, but the relationship between them has never been studied. Patients with cervical spondylosis are often accompanied with vertigo. Anterior cervical discectomy and fusion is an effective method of treatment for cervical spondylosis with cervical vertigo that is unresponsive to conservative therapy. We report 2 patients of cervical spondylosis with concomitant cervical vertigo and hypertension who were treated successfully with anterior cervical discectomy and fusion. Stimulation of sympathetic nerve fibers in pathologically degenerative disc could produce sympathetic excitation, and induce a sympathetic reflex to cause cervical vertigo and hypertension. In addition, chronic neck pain could contribute to hypertension development through sympathetic arousal and failure of normal homeostatic pain regulatory mechanisms. Cervical spondylosis may be one of the causes of secondary hypertension. Early treatment for resolution of symptoms of cervical spondylosis may have a beneficial impact on cardiovascular disease risk in patients with cervical spondylosis.
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