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Journal of Bone and Joint Surgery - British Volume, Vol 71-B, Issue 2, 283-287
Copyright © 1989 by British Editorial Society of Bone and Joint Surgery

Articles

Cranial symptoms after cervical injury. Aetiology and treatment of the Barre-Lieou syndrome

T Tamura

Department of Orthopaedic Surgery, Josai Hospital, Yuki, Japan.

Neck injury of the whiplash type may lead to the cranial symptoms of the Barre-Lieou syndrome. Forty patients with this syndrome and 40 without it were investigated by a variety of imaging techniques. There was a clear correlation between root sleeve defects at C3/4 shown by special oblique myelographic views and cranial symptoms. Good results were obtained by anterior cervical discectomy and fusion at C3/4 in 21 cases. It is suggested that the syndrome may result from irritation of the sympathetic nervous supply at this level.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General