Campero M, Verdugo R J, Stuardo A, Tenhamm E
Departamento de Ciencias Neurológicas, Facultad de Medicina, Universidad de Chile, Santiago de Chile.
Rev Med Chil. 1995 May;123(5):624-7.
We report a 56 years old male patient presenting with a sympathetic denervation of the right upper limb due to an apical lung cancer. Vasomotor paralysis of the limb was objectively documented with a contact termography. The clinical presentation of this patient was unusual, considering that the alteration occurred without sensory or motor changes of the limb or autonomic disturbances of the face. The absence of clinical and neurophysiological involvement of large and small caliber fibres of the brachial plexus and the lack of autonomic dysfunction of the face was explained by a predominant tumoral infiltration of T2 and T4 ventral roots, which supply autonomic innervation to the upper limbs.
我们报告了一名56岁男性患者，因肺尖癌出现右上肢交感神经去神经支配。通过接触式热像仪客观记录了肢体的血管运动麻痹。考虑到该改变发生时肢体无感觉或运动变化，面部无自主神经紊乱，该患者的临床表现并不常见。臂丛神经大小口径纤维无临床和神经生理学受累以及面部无自主神经功能障碍，这是由于主要供应上肢自主神经支配的T2和T4腹侧神经根出现肿瘤浸润所致。
