{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:44Z","timestamp":1756425824492,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:title\/>\n               <jats:p>Pancoast syndrome, classically considered as a constellation of (1) pain along the C8\u2013T2 dermatomes, (2) weakness and atrophy of the hand and (3) Horner's syndrome, often presents a diagnostic challenge. In fact, it may manifest as a singular orthopaedic complaint, prompting a futile barrage of tests and referrals. The authors present the case of an elderly man who initially presented with severe shoulder pain. Due to progressive pain and weakness, he was referred to rheumatology and was treated with corticosteroid injections for a presumed musculoskeletal lesion. Ultimately, he manifested gross muscular atrophy and worsening pain, prompting a referral to neurology. An electromyogram (EMG) suggested a lower brachial plexopathy, and a follow-up brachial plexus MRI identified a large Pancoast tumour. Unfortunately, his disease was rapidly progressive, and he passed away within 2\u2005months. While the MRI remains the gold standard for diagnosing Pancoast syndrome, an EMG can facilitate diagnosis in difficult cases such as this one.<\/jats:p>","DOI":"10.1136\/bcr-03-2012-6100","type":"journal-article","created":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T10:43:35Z","timestamp":1340880215000},"page":"bcr0320126100","source":"Crossref","is-referenced-by-count":0,"title":["Shoulder pain and isolated brachial plexopathy"],"prefix":"10.1136","volume":"2012","author":[{"given":"Amar U","family":"Kishan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sana","family":"Syed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franchesca","family":"Fiorito-Torres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Thakore-James","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199711063371907"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1924.02660180025007"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1932.02740690001001"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.4","first-page":"1522","article-title":"Sindrome \u00e1pico-costo-vertebral doloroso por tumor apexiano: su valor diagn\u00f3stico en el c\u00e1ncer primitivo pulmonar","volume":"17","author":"Tob\u00edas","year":"1932","journal-title":"Rev Med Latino Am"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.5","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.08.2826"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.6","doi-asserted-by":"crossref","first-page":"979","DOI":"10.7326\/0003-4819-64-5-979","article-title":"Thoracic inlet tumors","volume":"64","author":"Hepper","year":"1966","journal-title":"Ann Intern Med"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.7","doi-asserted-by":"crossref","first-page":"1645","DOI":"10.2106\/00004623-197355080-00008","article-title":"Orthopaedic aspects and early diagnosis of superior sulcus tumor of lung (Pancoast)","volume":"55","author":"Spengler","year":"1973","journal-title":"J Bone Joint Surg Am"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-006-0615-0"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.9","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1212\/WNL.39.4.502","article-title":"Distinction between neoplastic and radiation-induced brachial plexopathy, with emphasis on the role of EMG","volume":"39","author":"Harper","year":"1989","journal-title":"Neurology"},{"key":"2025082802463099000_2012.jun28_1.bcr0320126100.10","first-page":"606","article-title":"Pancoast tumor presenting as cervical radiculopathy","volume":"71","author":"Vargo","year":"1990","journal-title":"Arch Phys Med Rehabil."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-03-2012-6100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:46:51Z","timestamp":1756374411000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-03-2012-6100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,28]]},"references-count":10,"alternative-id":["10.1136\/bcr-03-2012-6100"],"URL":"https:\/\/doi.org\/10.1136\/bcr-03-2012-6100","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,6,28]]}}}