Spinal cord infarction with cervical angina

Nakae, Yoshiharu; Johkura, Ken; Kudo, Yoshihisa; Kuroiwa, Yoshihiro

doi:10.1016/j.jns.2012.11.005

Cited by 16 publications

(20 citation statements)

References 10 publications

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“…Less emergent, and common conditions including gastroesophageal reflux, costochondritis, pleuritic, and other musculoskeletal conditions also need to be included in the differential diagnosis of non-traumatic chest pain [2]. Pseudoangina, mimicking the pain of coronary ischemia, is a cause of non-cardiogenic chest pain [3]. Sensory neurons in the upper thoracic spinal cord transmit the pain of myocardial ischemia from the cardiac plexus [4].…”

Section: Discussionmentioning

confidence: 99%

Spinal cord infarction mimicking ischemic heart disease

Lee

Choi

2017

Clin Exp Emerg Med

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Spinal cord infarction is a rare condition and is easily misdiagnosed owing to its initial non-specific manifestation. We report a case of a 77–year-old man who presented with chest pain and upper back pain initially, and was misdiagnosed with a myocardial infarction. Four hours after admission, he complained of numbness in his entire left leg below the knee, with rapid deterioration of neurological symptoms. After 9 hours, loss of sensation progressed up to the T4 dermatome, strength of both lower extremities deteriorated to grade 0, and decrease in anal tone and deep tendon reflex was observed. Initial magnetic resonance imaging findings were normal; however, a signal change occurred 3 days after symptom onset. When patients present with acute chest pain and neurologic symptoms, the possibility of ischemic cardiac disease as well as any neurological manifestations must be investigated. Emergency physicians must remember the value of serial physical examinations.

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Section: Discussionmentioning

confidence: 99%

Spinal cord infarction mimicking ischemic heart disease

Lee

Choi

2017

Clin Exp Emerg Med

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“…The most frequently affected levels were C5-C6 (37%), C6-C7 (30%), C4-C5 (27%), and C3-C4 (4%). 10 A few cases have been reported in which cervical angina was attributed to cervical myelopathy, 7 spinal cord infarction, 11,12 spinal cord tumors, 13 cervical instability, 14 and intervertebral disk disease. 6 In these cases, the mechanism of pain is controversial.…”

Section: Discussionmentioning

confidence: 99%

Cervical Angina

Sussman

Makovitch

Merchant

et al. 2014

The Neurohospitalist

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Cervical angina has been widely reported as a cause of chest pain but remains underrecognized. This series demonstrates the varied clinical presentation of patients with cervical angina, the delay in diagnosis, and the extensive cardiac examinations patients with this condition typically undergo prior to a definitive diagnosis. Recognition of this condition in patients with acute chest pain requires a high index of suspicion and an awareness of the common presenting features and clinical findings of cervical angina.

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“…Em nosso caso, foi submetido à discectomia por via anterior e exérese do disco herniado, fato este realizado por outros autores. 1,3,8,17 A AC é uma síndrome clínica frequentemente subdiagnosticada. A literatura médica necessita de mais dados a respeito da sua prevalência.…”

Section: Discussionunclassified

“…Geralmente a AC tem como causa a compressão de raízes nervosas, principalmente no nível de C5, C6 e C7. [1][2][3][4][5][6] A prevalência dessa patologia permanece escassa de dados, uma vez que é comumente subdiagnosticada por se tratar de uma síndrome clínica desconhecida. A dificuldade diagnóstica da AC leva o paciente a ser submetido a uma série de exames e tratamento desnecessários.…”

Section: Introductionunclassified