{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:49:12Z","timestamp":1788310152836,"version":"build-2803163510"},"reference-count":6,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p>Persistent cough due to irritation of the vagus nerve by osteophytes resulting from cervical spinal surgery is a very rare condition. The authors report the case of a 49-year-old woman who presented with a persistent cough subsequent to cervical spinal surgery. One year after the initial operation, the patient underwent surgery to free the larynx from the prevertebral fascia and cut the pharyngeal plexus, but her symptoms persisted. In order to control the cough, she used a soft cervical collar with padding inserted in the left side so that the larynx would be pushed to the right, a solution she discovered on her own. Without the collar, she coughed uncontrollably.<\/jats:p>\n<jats:p>A CT scan was performed and showed an osteophyte that had developed at the level of the prosthesis. Based on these findings, the authors hypothesized that the cough was caused by vagus nerve irritation due to the osteophyte. The osteophyte was resected and the vagus nerve was moved to a position anterior to the carotid artery and was isolated by means of an autogenous tensor fascia lata graft. The patient's symptom disappeared immediately after the surgery. At the most recent follow-up visit, 18 months after surgery, the patient was symptom free and was pursuing regular daily activities without using a cervical collar.<\/jats:p>","DOI":"10.3171\/2013.4.spine12428","type":"journal-article","created":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T14:02:11Z","timestamp":1369404131000},"page":"167-169","source":"Crossref","is-referenced-by-count":7,"title":["Persistent cough associated with osteophyte formation and vagus nerve impingement following cervical spinal surgery"],"prefix":"10.3171","volume":"19","author":[{"given":"Kadir Serkan","family":"Orhan","sequence":"first","affiliation":[{"name":"Departments of Otorhinolaryngology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eenol","family":"Acar","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Ulusan","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayd\u0131n","family":"Aydoseli","sequence":"additional","affiliation":[{"name":"Neurosurgery, Faculty of Medicine, Istanbul University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahya","family":"G\u00fcldiken","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2 Suppl 2","key":"b1-spine12428","series-title":"Ethn Dis","first-page":"S2-137","article-title":"Dysphagia and lung aspiration secondary to anterior cervical osteophytes: a case report and review of the literature","volume":"18","author":"De Jesus-Monge","year":"2008"},{"key":"b2-spine12428","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2310","DOI":"10.1097\/BRS.0b013e318154c57e","article-title":"Anterior cervical discectomy and fusion associated complications","volume":"32","author":"Fountas","year":"2007"},{"key":"b3-spine12428","series-title":"J Spinal Disord","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1097\/00002517-199203000-00014","article-title":"Posttraumatic anterior cervical osteophyte and dysphagia: surgical report and literature review","volume":"5","author":"Kissel","year":"1992"},{"key":"b4-spine12428","series-title":"South Med J","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1097\/00007611-199708000-00020","article-title":"Posttraumatic cervical osteophytosis causing progressive dysphagia","volume":"90","author":"McGarrah","year":"1997"},{"key":"b5-spine12428","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1097\/00005537-200001000-00009","article-title":"Vocal fold paralysis after anterior cervical diskectomy and fusion","volume":"110","author":"Morpeth","year":"2000"},{"key":"b6-spine12428","series-title":"Br J Neurosurg","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1080\/02688690500145779","article-title":"Anterior cervical osteophyte causing dysphagia as a complication of laminectomy","volume":"19","author":"Ortega-Mart\u00ednez","year":"2005"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/19\/2\/article-p167.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/19\/2\/article-p167.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/19\/2\/article-p167.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T23:11:47Z","timestamp":1681600307000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/19\/2\/article-p167.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2013,8]]},"references-count":6,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2013.4.spine12428","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2013,8]]}}}