Cheshire W P
Department of Neurology, Mayo Clinic, Jacksonville, Fla 32224, USA.
Mayo Clin Proc. 2000 Nov;75(11):1197-9. doi: 10.4065/75.11.1197.
Severe chest pain resembling angina pectoris in a 42-year-old man preceded the development of neurologic signs, distracting from recognition of the acute infarction of the cervical spinal cord responsible for his pain. Consistent with a spinal origin of chest pain were the absence of any evidence of cardiac disease and the demonstration of infarction at C6-7. This segmental level coincides with the convergence of ascending afferent traffic entering the central nervous system from the cardiac plexus. Spinal stroke affecting the lower cervical level can thus mimic the pain of myocardial ischemia.
一名42岁男性在出现神经系统体征之前，先出现了类似心绞痛的严重胸痛，这使得人们未能识别出导致其疼痛的颈脊髓急性梗死。胸痛源于脊髓的依据是不存在任何心脏病证据，且在C6 - 7节段有梗死表现。这一节段水平与从心脏神经丛进入中枢神经系统的上行传入神经通路的汇聚点相吻合。因此，影响下颈段的脊髓卒中可模拟心肌缺血的疼痛。
