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Related Experiment Videos

Cervical disc herniation presenting with chest wall pain

M C Yeung1, N A Hagen

  • 1Department of Clinical Neurosciences, Foothills Hospital, Calgary, Alberta, Canada.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|February 1, 1993
PubMed
Summary

Severe neuropathic chest pain can stem from a herniated C6-7 disc compressing the spinal cord. Prompt surgical intervention resolved symptoms in two patients, highlighting the need for cervical spine imaging.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Pain Medicine

Background:

  • Neuropathic chest wall pain is a challenging clinical presentation.
  • Cervical spine pathology is an underrecognized cause of chest pain.

Observation:

  • Two patients presented with severe neuropathic chest wall pain.
  • Symptoms worsened with neck movement, suggesting a cervical origin.

Findings:

  • Both patients had a herniated C6-7 disc compressing the spinal cord and C7 nerve root.
  • Surgical decompression led to prompt resolution of neurological symptoms.

Implications:

  • Clinicians should consider cervical disc herniation in patients with neuropathic chest pain.
  • Definitive imaging, such as MRI, of the cervical spine is crucial for diagnosis.

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