A rare cause of shoulder pain: Radiation induced plexopathy: A case report Omuz aǧrisinin sik görülmeyen bir nedeni: Radyasyon pleksopatisi: Olgu sunumu
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, cilt.53, sa.3, ss.121-123, 2007 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 53 Sayı: 3
- Basım Tarihi: 2007
- Dergi Adı: Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.121-123
- Anahtar Kelimeler: Amitriptilin, Brachial plexopathy, Gabapentin, Radiation therapy, Shoulder pain
- Trakya Üniversitesi Adresli: Evet
Özet
Brachial plexopathy (BP) is a rare cause of the shoulder pain. The radiation-induced brachial plexopathy that it is a type of BP may be occured after supraclavicular and upper thoracal region irradiation. We describe a unique case with right shoulder pain of the RP that occurred after treated for carcinoma of the breast. A 48-year-old woman has right shoulder pain and weakness. The breast canser patient who diagnosed four years ago was treated with postoperative radiation therapy for five weeks after radical mastectomy by a standardized. At physical examination manual assessment of shoulder muscle strength was found 2/5. Pain measured by the Visual Analog Scale (VAS) value was 9. Electromyographic study and magnetic resonance imaging (MRI) revealed BP. In this case, MRI could not distinguish between a delayed radiation injury and tumor infiltration. The diagnosis was clarified with an PET and tumor infiltration was not detected. The VAS value improved from 9 before the medical treatment to 3 after gabapentin and amitriptilin treatment. The risk of BP after supraclavicular lymph node irradiation in breast cancer patients with shoulder pain remains constant for a considerable portion of the patient's life. Gabapentin and amitriptilin were a really useful treatment of pain due to BP.