Thoracic radiculopathy as initial symptoms of hepatocellular carcinoma: A case report
- 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.
- All Author(s)
- Y. Kim
; S. Kim
; K. Oh
- Issued Date
- 2018
- Type
- Article
- Keyword
- neoplasm metastasis; neuropathic pain; radiculopathy
- Publisher
- Lippincott Williams & Wilkins
- ISSN
- 0025-7974
; 1536-5964
- Citation Title
- Medicine
- Citation Volume
- 97
- Citation Number
- 30
- Citation Start Page
- e11635
- Citation End Page
- e11635
- Language(ISO)
- eng
- DOI
- 10.1097/md.0000000000011635
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2456
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