Thoracic radiculopathy as initial symptoms of hepatocellular carcinoma: A case reportopen access
- Authors
- Kim, Yongmin; Kim, Sooa; Oh, Kiyoung; Kim, Yuntae
- Issue Date
- Jul-2018
- Publisher
- Lippincott Williams & Wilkins Ltd.
- Keywords
- neoplasm metastasis; neuropathic pain; radiculopathy
- Citation
- Medicine, v.97, no.30
- Journal Title
- Medicine
- Volume
- 97
- Number
- 30
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/5840
- DOI
- 10.1097/MD.0000000000011635
- ISSN
- 0025-7974
1536-5964
- Abstract
- Rationale:Among the patients who complain of neuralgia in the upper extremities, it is very rare to be caused by the first thoracic (T1) spinal nerve dermatome.Patient concerns:A 65-year-old presented with neuropathic pain of the left medial antebrachial cutaneous nerve and the medial brachial cutaneous nerve for 2 months.Diagnoses:Electrodiagnostic study revealed left thoracic radiculopathy mainly involving the T1 nerve root. Cervical spine magnetic resonance imaging revealed a metastatic tumor of T1 vertebral body compressing the left spinal cord and nerve root. After a systemic diagnostic work-up, he was finally diagnosed with primary hepatocellular carcinoma.Interventions:He received transarterial chemoembolization in the liver and radiotherapy to the T1 spine.Outcomes:After radiotherapy, the neuropathic pain was slightly improved.Lessons:If the patient is suspected of having thoracic radiculopathy, the physician should consider not only a herniated disc disease but also systemic disease. Because the prevalence of thoracic radiculopathy is very low and there is a high incidence of cancer that can spread to the spine in the elderly.
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Collections - College of Medicine > Department of Physical Medicine and Rehabilitation > 1. Journal Articles
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