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Cervical Disc Herniation Presenting with Chest Wall Pain

Published online by Cambridge University Press:  18 September 2015

Michael C. Yeung  and
Neil A. Hagen
Michael C. Yeung*
Affiliation:
Department of Clinical Neurosciences, Foothills Hospital (M.C.Y., N.A.H.) and Faculty of Medicine, University of Calgary (N.A.H.)
Neil A. Hagen
Affiliation:
Department of Clinical Neurosciences, Foothills Hospital (M.C.Y., N.A.H.) and Faculty of Medicine, University of Calgary (N.A.H.)
*
Department of Clinical Neurosciences, Foothills Hospital, 1403 - 29th Street N.W., Calgary, Alberta, Canada T2N 2T9
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Abstract:

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This report highlights the clinical features of two patients who presented with severe neuropathic chest wall pain caused by herniated C6-7 disc, and speculates on the pathophysiology of this syndrome. Worsening of symptoms with neck movement helped localize the process as cervical spine rather than plexus in origin. Both patients had herniated C6-7 disc material compressing the spinal cord and C7 nerve root, and neurological symptoms resolved promptly following surgery. Neuropathic chest wall pain should alert the clinician to consider the diagnosis of cervical disc herniation and prompt definitive imaging of the cervical spine by myelography or magnetic resonance imaging (MRI).

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 20 , Issue 1 , February 1993 , pp. 59 - 61
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

References

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