Rationale:Cervical ribs are rare conditions, occurring in 0.05% to 3.0% of the population. This manuscript reports a case of arterial thoracic outlet syndrome (ATOS) associated with this congenital anomaly.Patient concerns:We report a 32-year-old female worker presenting pain in her left upper-extremity for 7 months. Her left hand became paler and cold when the temperature decreased, and the symptoms could not be eased through rest, physiotherapy and drugs medication.Diagnoses:Compression of left subclavian artery with axillary and brachial arteries thrombosis was confirmed by duplex ultrasound and computed tomography angiography. ATOS caused by cervical ribs was confirmed by medical history, physical examination, and imaging.Interventions:The patients underwent acute thrombolysis and balloon angioplasty.Outcomes:Symptoms of pain and weakness disappeared after surgery. The patient had not experienced any apparent symptom recurrence at 1-year follow-up.Lessons:Successful treatment of ATOS depends upon urgent assessment, accurate identification of causative factors and compression site and early diagnosis before the event of arterial thrombosis. The surgery combined with anticoagulation treatment can improve the treatment outcome of ATOS.
A 5‐year‐old male, neutered, English Bulldog presented for acute progressive paraparesis. Neurological examination revealed a weak withdrawal reflex in the left pelvic limb and lumbosacral pain, suggestive of a L4–S3 myelopathy. Magnetic resonance imaging revealed an incidental intramedullary mass at the T9 vertebra and L7–S1 intervertebral disc protrusion with bilateral foraminal stenosis. The dog was treated with epidural methylprednisolone. Repeat neurological examination postepidural revealed normal withdrawal reflexes and resolution of lumbosacral spinal pain. However, progressive paraparesis, thoracolumbar pain and epaxial muscle atrophy were evident. A T3–L3 myelopathy was suspected secondary to the intramedullary mass. The mass was surgically resected, and histology revealed haemangioblastoma. Neurological status improved initially, but deteriorated later due to the lumbosacral disease. The dog improved following repeat methylprednisolone epidural injection, but remained paraparetic. This case report is consistent with previous literature and provides additional information on the treatment and prognosis of spinal cord haemangioblastoma with concurrent lumbosacral disease.
OBJECTIVE To retrospectively evaluate complications reported in dogs and cats with a closed suction subcutaneous drain that were either managed completely in hospital (Group ND) or discharged home for ongoing outpatient care (Group D). ANIMALS 101 client-owned animals involving 94 dogs and 7 cats with a subcutaneous closed suction drain placed during a surgical procedure. PROCEDURES Electronic medical records (January 2014 to December 2022) were reviewed. Signalment, reason for drain placement, surgical procedure, location and duration of drain placement, drain discharge status, antimicrobial usage, culture and sensitivity results, and intraoperative and postoperative complications were recorded. Associations among variables were evaluated. RESULTS There were 77 animals in Group D and 24 animals in Group ND. Majority (n = 21/26) of complications were classified as minor and were all from Group D. Length of hospitalization in Group D (1 day) was significantly shorter than Group ND (3.25 days). Duration of drain placement was significantly longer in Group D (5.6 days) than Group ND (3.1 days). There were no associations between drain location, drain duration, or surgical site contamination with risk of complications. CLINICAL RELEVANCE There is a higher risk of complications associated with discharging an animal from hospital (37%) with a subcutaneous closed suction drain than removing it prior to discharge (4%). These complications, however, were primarily minor and easily managed. Discharging an otherwise stable animal to home with a subcutaneous closed suction drain may be feasible to decrease duration of hospitalization, cost to the owner, and stress for the animal.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.