Incidental Intraspinal Tumor Detection during Treatment of Myofascial Pain Syndrome : A case report.
- Author:
Jin Sun YOON
1
;
Woo Seok SIM
;
Young Hee SHIN
;
Tae Hyeong KIM
;
Sang Min LEE
;
Yong Ho LEE
;
Keon Hee RYU
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. anesthe@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
intraspinal tumor;
myofascial pain;
neck pain
- MeSH:
Diagnosis, Differential;
Humans;
Magnetic Resonance Imaging;
Myofascial Pain Syndromes;
Neck;
Neck Pain;
Physical Examination
- From:Anesthesia and Pain Medicine
2008;3(1):7-11
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Differential diagnosis of posterior neck and occipital pain is difficult based on symptoms and physical examination only. We report a case of patient who complained of pain in the posterior neck and occiput, with the initial diagnosis of myofascial pain syndrome, but who did not improve with conventional treatments. Magnetic resonance imaging revealed a cervical intraspinal tumor, and the patient developed subsequent motor weakness and sensory changes. Comprehensive diagnostic approaches are strongly recommended when the patient manifests symptoms unresponsive to treatment.