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[Paroxysmal hemicrania preceding Pancoast's syndrome]
V Delreux1, L Kevers, A Callewaert
1Service de Neurologie, Clinique Saint-Jean, Bruxelles.
Revue Neurologique
|January 1, 1989
Summary
Pancoast's syndrome can initially present as facial pain mimicking chronic paroxysmal hemicrania. This unique presentation suggests a potential link between sympathetic nerve lesions in the neck and such symptoms.
Area of Science:
- Neurology
- Oncology
Background:
- Pancoast's syndrome is a type of lung cancer.
- Facial pain is not a typical initial symptom.
Observation:
- A case of Pancoast's syndrome with initial facial pain is presented.
- The pain was indistinguishable from chronic paroxysmal hemicrania.
Findings:
- The facial pain may stem from a lesion affecting sympathetic nerves in the neck.
- This challenges typical presentations of Pancoast's syndrome.
Implications:
- Highlights the importance of considering Pancoast's syndrome in cases of unexplained facial pain.
- Suggests a potential diagnostic pathway involving cervical sympathetic nerve assessment.
- Underscores the diverse clinical manifestations of thoracic malignancies.