Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient
| Autor: | Wang, Xiao-Tao, Yao, Min, Zhong, Ming, Wang, Yong-Jun, Shi, Qi, Cui, Xue-Jun |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
cervical spondylotic myelopathy diagnosis Decompression Surgical Magnetic Resonance Imaging Spinal Cord Diseases Laminoplasty Diagnosis Differential Thoracic Outlet Syndrome Postoperative Complications Spinal Fusion Treatment Outcome Cervical Vertebrae postoperative Humans Clinical Case Report Spondylosis Research Article Aged |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Rationale: Thoracic outlet syndrome (TOS) is a rare disease that presents with neurogenic and vascular symptoms similar to those of cervical spondylosis. However, making the diagnosis of TOS can be challenging due to a lack of standardized objective confirmatory tests. Patient concerns: A 66-year-old man presented with neck, supraclavicular, and right shoulder pain as well as numbness and weakness in the right arm after surgery to correct cervical spondylotic myelopathy (CSM). Diagnosis: Magnetic resonance imaging confirmed the diagnosis of CSM. He was diagnosed with TOS based on the manifestations and examination findings. Interventions: After surgery for CSM, nonoperative management was provided. Outcomes: The patient reported pain relief and improving sensation in the shoulder and supraclavicular region. Lessons: Based on this case and the reviewed literature, to optimize the diagnosis and treatment of CSM, clinicians should consider preoperative differential diagnosis to preliminarily exclude it. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|