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.