Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report. Issue 11 (March 2019)

• Record Type: Journal Article
• Authors: Wang, Xiao-Tao; Yao, Min; Zhong, Ming; Wang, Yong-Jun; Shi, Qi; Cui, Xue-Jun
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 98:Issue 11(2019)
• Publication Date: 2019-03
• Subjects: cervical spondylotic myelopathy -- diagnosis -- postoperative -- thoracic outlet syndrome; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000014806
• Languages: English
• ISSNs: 0025-7974

Abstract

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.