Underdiagnosed, Understudied Complexity of Pseudoangina: Should Clinicians Take a Neurosurgical Approach in Diagnosing Unexplained Visceral Pain?

We have read with great interest the article by Al Jammal et al. [1] regarding cervical arthroplasty as a treatment for refractory cervical angina and are eager to provide several comments which we believe may be relevant and interesting to your broad readership. In a manner akin to Al Jammal et al. [1], we performed a comprehensive review of the literature regarding cervical angina, also referred to as "pseudoangina," which has been recently published in Journal of Neurosurgery: Spine [2]. As we describe, pseudoangina pectoris is an underdiagnosed syndrome of radiculopathy which mimics true angina pectoris but is instead the result of spinal pathology (most commonly cervical herniation, which accounted for 72.6% of the 95 patients included in our study).