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Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report
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-ol...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426532/ https://www.ncbi.nlm.nih.gov/pubmed/30882659 http://dx.doi.org/10.1097/MD.0000000000014806 |
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author | Wang, Xiao-Tao Yao, Min Zhong, Ming Wang, Yong-Jun Shi, Qi Cui, Xue-Jun |
author_facet | Wang, Xiao-Tao Yao, Min Zhong, Ming Wang, Yong-Jun Shi, Qi Cui, Xue-Jun |
author_sort | Wang, Xiao-Tao |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6426532 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-64265322019-04-15 Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report Wang, Xiao-Tao Yao, Min Zhong, Ming Wang, Yong-Jun Shi, Qi Cui, Xue-Jun Medicine (Baltimore) Research Article 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. Wolters Kluwer Health 2019-03-15 /pmc/articles/PMC6426532/ /pubmed/30882659 http://dx.doi.org/10.1097/MD.0000000000014806 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | Research Article Wang, Xiao-Tao Yao, Min Zhong, Ming Wang, Yong-Jun Shi, Qi Cui, Xue-Jun Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report |
title | Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report |
title_full | Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report |
title_fullStr | Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report |
title_full_unstemmed | Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report |
title_short | Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report |
title_sort | thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426532/ https://www.ncbi.nlm.nih.gov/pubmed/30882659 http://dx.doi.org/10.1097/MD.0000000000014806 |
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