Document Detail


Horner syndrome associated with contusion of the longus colli muscle simulating a tumor.
MedLine Citation:
PMID:  20182213     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 22-year-old man who was discovered unarousable after an accidental methadone overdose complained of worsening neck pain and left arm weakness over the next week. Examination disclosed a left Horner syndrome and a left brachial plexopathy. Imaging showed a left paraspinal mass adjacent to the sympathetic pathway at the fourth and fifth cervical vertebral levels with imaging features of a tumor. Biopsy was deferred. One month later, the imaging abnormality had nearly disappeared. In retrospect, it represented a contusion injury of the longus colli muscle, a finding not reported previously. Whether it caused the Horner syndrome or was merely a bystander in cervical neck trauma is uncertain. This abnormality should be recognized as a diagnostic confounder.
Authors:
Mohannad Ibrahim; Hemant Parmar; Lynda Yang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  30     ISSN:  1536-5166     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-25     Completed Date:  2010-05-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  70-2     Citation Subset:  IM    
Affiliation:
Department of Radiology (Neuroradiology), University of Michigan Medical System, Ann Arbor, Michigan 48109, USA. mibrahim@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Brachial Plexus Neuropathies / complications
Contusions / complications
Horner Syndrome / complications,  diagnosis*
Humans
Magnetic Resonance Imaging / methods
Male
Muscle Neoplasms / physiopathology*
Spinal Cord*
Tomography, X-Ray Computed / methods
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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