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Medicine (Baltimore). 2019 Mar;98(11):e14806. doi: 10.1097/MD.0000000000014806.

Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report.

Wang XT1,2,3, Yao M2,3, Zhong M4, Wang YJ2,3, Shi Q2,3, Cui XJ2,3.

Author information

1
Department of Traditional Chinese Medicine, Ehu Branch of Xishan People's Hospital, Wuxi, Jiangsu.
2
Institute of Spine, Longhua Hospital, Shanghai University of Traditional Chinese Medicine.
3
Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry of Education (Shanghai University of Traditional Chinese Medicine), Shanghai.
4
Department of Hand Surgery, Ruihua Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Abstract

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.

PMID:
30882659
PMCID:
PMC6426532
DOI:
10.1097/MD.0000000000014806
[Indexed for MEDLINE]
Free PMC Article

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