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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Thoracic Radiculopathy due to Rare Causes.

Hee Eun Choi1, Min Ha Shin1, Geun Yeol Jo1

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Summary

Thoracic radiculopathy, a rare spinal condition, is often missed due to atypical symptoms. Early consideration is key for diagnosing thoracic and abdominal pain, especially when initial tests are inconclusive.

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Abdominal painEwing sarcomaRadiculoapthy

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Area of Science:

  • Neurology
  • Orthopedics
  • Oncology

Background:

  • Thoracic radiculopathy is an uncommon spinal disorder.
  • Its clinical presentation is often atypical, leading to delayed diagnosis.
  • It is frequently overlooked in the evaluation of thoracic and abdominal pain.

Purpose of the Study:

  • To highlight the importance of considering thoracic radiculopathy in differential diagnoses.
  • To present rare cases of thoracic radiculopathy.
  • To emphasize the need for thorough investigation in cases of persistent thoracic or abdominal pain.

Main Methods:

  • Case report of two patients with thoracic radiculopathy.
  • Review of clinical presentation and diagnostic challenges.
  • Discussion of underlying causes including extraskeletal Ewing sarcoma and bony spurs.

Main Results:

  • One case of thoracic radiculopathy was attributed to extraskeletal Ewing sarcoma (EES) in the paraspinal area.
  • Another case was caused by foraminal stenosis due to a thoracic bony spur.
  • Both cases illustrate the diagnostic challenges associated with this condition.

Conclusions:

  • Thoracic radiculopathy should be considered in patients presenting with thoracic or abdominal pain.
  • Atypical presentations and numerous differential diagnoses can delay diagnosis.
  • Prompt and comprehensive evaluation is crucial for identifying the cause of thoracic radiculopathy.