Bilateral upper-extremity deep vein thrombosis following central cord syndrome

Onmez, Hilal; Cingöz, Havva Turaç; Küçükşen, Sami; Anlıacik, Emel; Yaşar, Ozan; Yılmaz, Halim; Sallı, Ali

doi:10.1179/2045772313y.0000000096

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…Idiopathic upper extremity DVT cases have been associated with occult cancers. Findings from a past study revealed the development of a malignancy (mostly lung cancer or lymphoma) within the 1 st year in one-fourth of these patients [ 8 ]. Malignancy, lymphoma, and tuberculosis were ruled out in our patient.…”

Section: Discussionmentioning

confidence: 99%

A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome

Babu¹,

Devasia²,

Karkal³

et al. 2017

Tzu Chi Med J

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Upper extremity deep vein thrombosis is an extremely important clinical entity with potential for considerable morbidity and mortality. A 64-year-old woman was brought to the emergency department with complaints of left upper limb and neck swelling for 4 days. Ultrasonography of the neck showed thrombosis of the left internal jugular and other surrounding veins associated with local lymphadenopathy. Computed tomography (CT) of the neck also showed a hypodense 0.6 cm × 0.8 cm × 1.2 cm lesion in the right middle lobe bronchus, causing complete occlusion and collapse of the right middle lobe of the lung. Fine-needle aspiration cytology and a lymph node biopsy showed nongranulomatous lymphadenitis. The patient was started on fondaparinux 10 mg subcutaneously once daily. She was discharged on oral anticoagulants for 6 months. Repeat CT scan after 6 months showed dissolution of the lesion and reexpansion of the right lung.

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Section: Discussionmentioning

confidence: 99%

A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome

Babu¹,

Devasia²,

Karkal³

et al. 2017

Tzu Chi Med J

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show abstract

“…evaluated the incidence of deep vein thrombosis (DVT) involving the upper extremities in patients who sustained SCI characterized by CCS [ Table 2 ]. [ 24 ] In this case study, a 51-year-old female with a central cord injury developed bilateral upper-extremity DVT; she was successfully medically managed, and the bilateral thrombus regressed. The authors concluded that with this type of SCI, DVT may arise in the upper extremities, and, therefore, prophylactic treatment should be considered.…”

Section: Medical Complications Of Central Cord Syndromementioning

confidence: 99%

Diagnosis and management of traumatic cervical central spinal cord injury: A review

Epstein

Hollingsworth

2015

Surg Neurol Int

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Background:The classical clinical presentation, neuroradiographic features, and conservative vs. surgical management of traumatic cervical central spinal cord (CSS) injury remain controversial.Methods:CSS injuries, occurring in approximately 9.2% of all cord injuries, are usually attributed to significant hyperextension trauma combined with congenital/acquired cervical stenosis/spondylosis. Patients typically present with greater motor deficits in the upper vs. lower extremities accompanied by patchy sensory loss. T2-weighted magnetic resonance (MR) scans usually show hyperintense T2 intramedullary signals reflecting acute edema along with ligamentous injury, while noncontrast computed tomography (CT) studies typically show no attendant bony pathology (e.g. no fracture, dislocation).Results:CSS constitute only a small percentage of all traumatic spinal cord injuries. Aarabi et al. found CSS patients averaged 58.3 years of age, 83% were male and 52.4% involved accidents/falls in patients with narrowed spinal canals (average 5.6 mm); their average American Spinal Injury Association (ASIA) motor score was 63.8, and most pathology was at the C3-C4 and C4-C5 levels (71%). Surgery was performed within 24 h (9 patients), 24–48 h (10 patients), or after 48 h (23 patients). In the Brodell et al. study of 16,134 patients with CSS, 39.7% had surgery. In the Gu et al. series, those with CSS and stenosis/ossification of the posterior longitudinal ligament (OPLL) exhibited better outcomes following laminoplasty.Conclusions:Recognizing the unique features of CSS is critical, as the clinical, neuroradiological, and management strategies (e.g. conservative vs. surgical management: early vs. late) differ from those utilized for other spinal cord trauma. Increased T2-weighted MR images best document CSS, while CT studies confirm the absence of fracture/dislocation.

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From Complication to Diagnosis: Subclavian Vein Thrombosis as the First Manifestation of Occult Pancreatic Cancer — a Case Report

Bahtiyarca

Can

Çakçı

2021

SN Compr. Clin. Med.

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Bilateral upper-extremity deep vein thrombosis following central cord syndrome

Cited by 4 publications

References 20 publications

A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome

A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome

Diagnosis and management of traumatic cervical central spinal cord injury: A review

From Complication to Diagnosis: Subclavian Vein Thrombosis as the First Manifestation of Occult Pancreatic Cancer — a Case Report

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