Purpose of Review

Chest pain is a very common presenting complaint among patients in the hospital, a large proportion of whom have non-cardiac chest pain (NCCP). Neurological causes of NCCP have not been previously reviewed although several causes have been identified.

Recent Findings

Chest pain has been reported as a symptom of multiple neurological conditions such as migraine, epilepsy, and multiple sclerosis, with varying clinical presentations. The affected patients are often not formally diagnosed for long periods of time due to difficulties in recognizing the symptoms as part of neurological disease processes.

Summary

This paper will briefly summarize well-known etiologies of chest pain and, then, review neurological causes of NCCP, providing an overview of current literature and possible pathophysiologic mechanisms.

中文翻译：

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胸痛的神经原因

审查目的

胸痛是医院患者中非常常见的主诉，其中很大一部分患者患有非心源性胸痛 (NCCP)。尽管已经确定了几个原因，但之前尚未审查过 NCCP 的神经学原因。

最近的发现

据报道，胸痛是多种神经系统疾病的症状，如偏头痛、癫痫和多发性硬化症，具有不同的临床表现。由于难以将症状识别为神经系统疾病过程的一部分，因此受影响的患者通常长时间未得到正式诊断。

概括

本文将简要总结众所周知的胸痛病因，然后回顾 NCCP 的神经学原因，提供当前文献和可能的病理生理机制的概述。