Toshkezi Gentian, Dejesus John, Jabre Joe F, Hohler Anna, Davies Keith
Department of Neurosurgery, Boston University, Boston, Massachusetts 02118, USA.
J Neurosurg. 2009 Apr;110(4):754-7. doi: 10.3171/2008.10.JNS08755.
Long thoracic nerve palsy has been reported to have traumatic, iatrogenic, and idiopathic causes. The authors describe the case of a 62-year-old man who presented with progressively worsening right shoulder pain, winging of the scapula, and Horner syndrome. A chest CT scan revealed an apical pulmonary mass. To the authors' knowledge, this is the first report of a long thoracic nerve palsy caused by an apical pulmonary tumor.
据报道,胸长神经麻痹有创伤性、医源性和特发性病因。作者描述了一名62岁男性的病例,该患者出现右肩部疼痛逐渐加重、肩胛骨翼状畸形和霍纳综合征。胸部CT扫描显示肺尖部有一个肿块。据作者所知,这是首例由肺尖部肿瘤引起胸长神经麻痹的报告。