title: Atypical symptoms in patients with cervical spondylosis might be the result of stimulation on the dura mater and spinal cord.
abstract: Patients with cervical spondylosis often present with some atypical symptoms such as vertigo, headache, palpitation, nausea, abdominal discomfort, tinnitus and blurred vision and hypomnesia. Although there are a few hypotheses about the etiology of those symptoms, none of them have provided evidence convincing enough to explain the clinical, pathological and anatomic manifestation of those symptoms. One of the more acceptable explanations is that those symptoms are the results of stimulation of the sympathetic nerves in the posterior longitudinal ligament. The clinical fact that dissection of the posterior longitudinal ligament significantly alleviates the severity of those symptoms seems like an evidence for the validity of this hypothesis. However, recent clinical studies showed that laminoplasty, which has no effect on the posterior longitudinal ligament, can achieve the similar effect. In this paper, we hypothesize that stimulation of the dura mater and spinal cord might be the cause of atypical symptoms in patients with cervical spondylosis.
authors.affiliation: Medical Center, Tsinghua University, Haidian District, Beijing 86100084, China. Electronic address: akrammuharram@163.com.
authors.forename: Aikeremujiang
authors.initials: A
authors.lastname: Muheremu
authors.affiliation: Department of Spine Surgery, Beijing Ji Shui Tan Hospital, 31 Xinjiekou East Street, Xicheng District, Beijing 100035, China. Electronic address: syuqing2004@126.com.
authors.forename: Yuqing
authors.initials: Y
authors.lastname: Sun
mesh_terms: D000818:Animals; D004388:Dura Mater / Q000473:pathology*; D006261:Headache / Q000150:complications; D006801:Humans; D055959:Intervertebral Disc Degeneration; D065406:Laminoplasty; D017846:Longitudinal Ligaments / Q000473:pathology; D008962:Models, Theoretical; D009325:Nausea / Q000150:complications; D051381:Rats; D013116:Spinal Cord / Q000473:pathology*; D055009:Spondylosis / Q000175:diagnosis* / Q000473:pathology*; D013564:Sympathetic Nervous System; D063189:Symptom Assessment; D014012:Tinnitus / Q000150:complications; D014717:Vertigo / Q000150:complications
keywords: Atypical symptoms; Cervical spondylosis; Vertigo