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[Considerations on various spinal pains].

S Caserta, F Di Domenica, B Misaggi

    Chirurgia Italiana
    |February 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Nerve root irritation in the thoracic to lumbar spine can cause abdominal pain by affecting somatic and visceral nerves. Osteoarthrosis of dorsal intervertebral joints is a common cause of this radicular abdominalgia.

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    Articular facets syndrome: diagnostic grading and treatment options.

    European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2009

    Area of Science:

    • Neurology
    • Gastroenterology
    • Orthopedics

    Context:

    • Abdominal pain can originate from nerve root irritation, specifically from T6 to L1.
    • This pain arises from the metameric distribution of visceral and somatic afferent pathways along the dorsal roots.
    • Radicular abdominalgia involves both somatic and visceral sensory disturbances within specific body segments.

    Purpose:

    • To explain the pathophysiology of abdominal segmental neuralgia.
    • To identify common causes of radicular syndromes that mimic intra-abdominal surgical conditions.

    Summary:

    • Irritation of thoracic (T6-L1) nerve roots can lead to parietal and visceral abdominal pain due to shared nerve pathways.
    • Abdominal segmental neuralgia, or radicular abdominalgia, presents as painful and paresthetic sensations affecting somatic and visceral components of one or more segments.

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  • Degenerative changes in dorsal intervertebral joints (osteoarthrosis) are frequently implicated in radicular syndromes that present as abdominal pain, often mistaken for surgical emergencies.

    • Impact:

    • Highlights the neurological origin of certain abdominal pain presentations.
    • Emphasizes the importance of considering spinal conditions in the differential diagnosis of abdominal pain.
    • Provides insights for clinicians to differentiate between visceral and radicular causes of abdominal discomfort, potentially avoiding unnecessary surgical interventions.