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Year : 2014  |  Volume : 28  |  Issue : 1  |  Page : 44-46

An unusual cause of chest pain: Fused cervical vertebra (C3-C4)

Department of Orthopaedics, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Correspondence Address:
Daipayan Chatterjee
118/5 Gautam Nagar, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-5333.128896

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Cervicogenic angina is paroxysmal precordialgia usually due to lower cervical vertebral involvement. But upper cervical vertebral segmental anomaly causing cervicogenic angina is rare. Herein, we report a case of cervicogenic angina due to fused 3 rd and 4 th cervical vertebra in a 37-year female, which was initially misdiagnosed as angina and treated likewise. But, persistence of symptoms led to evaluation of her cervical spine and subsequent diagnosis. Cervical traction, physiotherapy and posture training relieved her of her symptoms with no recurrence till 6 months of follow-up. Fused C3-C4 can be a cause of precordialgia and physicians should be aware of it.

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