Cervical Spine Syndrome: Complications

The following are the most important diseases or complications that may be contributed to by cervical spine syndrome (CWS syndrome):

Cardiovascular system (I00-I99)

  • Dissection of the vertebral artery/internal carotid artery – splitting of the wall layers of the vertebral artery/carotid artery.
  • Epidural hematoma (synonyms: epidural hematoma; epidural hemorrhage) – bleeding into the epidural space (space between the bones of the skull and the dura mater (hard meninges, outer boundary of the brain to the skull))
  • Spontaneous subarachnoid hemorrhage (SAB; hemorrhage between the spider tissue membrane and the soft meninges; incidence: 1-3%); symptomatology: proceed according to “Ottawa rule for subarachnoid hemorrhage”:
    • Age ≥ 40 years
    • Meningismus (symptom of painful neck stiffness in irritation and disease of the meninges).
    • Syncope (brief loss of consciousness) or impaired consciousness (somnolence, sopor and coma).
    • Onset of cephalgia (headache) during physical activity.
    • Thunderclap headache/destructive headache (about 50% of cases).
    • Restricted mobility of the cervical spine (Cervical spine).

Infectious and parasitic diseases (A00-B99).

Musculoskeletal system and connective tissue (M00-M99).

Psyche – nervous system (F00-F99; G00-G99)

  • Epidural abscess – collection of pus between the calvaria of the skull and the dura mater/hard meninges.
  • Meningitis (inflammation of the meninges)
  • Thoracic outlet syndrome – painful pressure damage to the nerve pathways that pull out of the chest and into the arm between the first rib and the collarbone