Thoracic Spine Spasms Secondary to Hemorrhagic Intestinal Ulcer
| Autor: | Curtis W. Slipman, Dave Lenrow, Gary R. Lichtenstein, Mark I. Ellen, Debra L. Braverman, William S. Whyte, Edward J. Vresilovic |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class Thoracic spine business.industry medicine.medical_treatment Chronic pain Proton-pump inhibitor musculoskeletal system medicine.disease Spinal manipulation Bed rest Complete resolution nervous system diseases Surgery Duodenal ulcer Anesthesiology and Pain Medicine Anesthesia medicine DISCOGENIC DISEASE business |
| Zdroj: | Pain Physician. :97-100 |
| ISSN: | 2150-1149 1533-3159 |
| Popis: | A case of thoracic spine spasms secondary to a bleeding duodenal ulcer is presented. A 41-year-old male with 14-week history of thoracic spine spasm was treated with bed rest, spinal manipulation, physical therapy, medication, and a thoracolumbar brace. Subsequently, a provocative thoracic discogram performed at T9-T10 created periscapular pain and also reproduced the presenting thoracic spasms. Intradiscal electrothermal annuloplasty (IDET) was performed at the T9-T10 level, but without sustained relief. The patient presented to a spine center for evaluation. The diagnosis of thoracic discogenic disease was suspected. A second provocative thoracic discogram was performed and failed to reproduce his thoracic spasms. Three weeks after being referred to a chronic pain management physician, the patient presented to a local emergency room with hema-temesis. An endoscopic evaluation revealed a bleeding duodenal ulcer. Following medical treatment of the duodenal ulcer with a proton pump inhibitor the patient had complete resolution of his thoracic spasms. This represents the first reported case of thoracic spine spasms as an initial presenting symptom of a bleeding peptic ulcer. |
| Databáze: | OpenAIRE |
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