Thoracic radiculopathy as preliminary signs of hepatocellular carcinoma: A case report.
Medication (Baltimore). 2018 Jul;97(30):e11635
Authors: Kim Y, Kim S, Oh Ok, Kim Y
RATIONALE: Among the many sufferers who complain of neuralgia within the higher extremities, it is rather uncommon to be brought on by the primary thoracic (T1) spinal nerve dermatome.
PATIENT CONCERNS: A 65-year-old introduced with neuropathic ache of the left medial antebrachial cutaneous nerve and the medial brachial cutaneous nerve for two months.
DIAGNOSES: Electrodiagnostic research revealed left thoracic radiculopathy primarily involving the T1 nerve root. Cervical backbone magnetic resonance imaging revealed a metastatic tumor of T1 vertebral physique compressing the left spinal twine and nerve root. After a systemic diagnostic work-up, he was lastly identified with main hepatocellular carcinoma.
INTERVENTIONS: He acquired transarterial chemoembolization within the liver and radiotherapy to the T1 backbone.
OUTCOMES: After radiotherapy, the neuropathic ache was barely improved.
LESSONS: If the affected person is suspected of getting thoracic radiculopathy, the doctor ought to think about not solely a herniated disc illness but additionally systemic illness. As a result of the prevalence of thoracic radiculopathy could be very low and there’s a excessive incidence of most cancers that may unfold to the backbone within the aged.
PMID: 30045308 [PubMed – indexed for MEDLINE]