{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:37:03Z","timestamp":1772080623165,"version":"3.50.1"},"reference-count":7,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,1,13]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>A 54-year-old man presented to the emergency department with a 4-week history of right shoulder pain radiating down his arm, with some associated sensory loss. Further questioning and examination in the department revealed a classical Horner\u2019s syndrome; miosis, partial ptosis and hemifacial anhidrosis. An initial chest X-ray was deemed to be unremarkable; however, further review by a radiologist noted asymmetrical right apical thickening. A subsequent high-resolution CT scan of the chest revealed a right-sided Pancoast tumour. This case highlights the importance of a thorough history and examination in identifying a rare cause of shoulder and\/or back pain.<\/jats:p>","DOI":"10.1136\/bcr-2018-227873","type":"journal-article","created":{"date-parts":[[2019,1,25]],"date-time":"2019-01-25T06:34:37Z","timestamp":1548398077000},"page":"bcr-2018-227873","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Pancoast tumour presenting as shoulder pain with Horner\u2019s syndrome"],"prefix":"10.1136","volume":"12","author":[{"given":"Nimlan","family":"Shanmugathas","sequence":"first","affiliation":[{"name":"Emergency Department, Guy\u2019s & St Thomas\u2019 Hospitals, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kapil Mohan","family":"Rajwani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brighton and Sussex University Hospitals, West Sussex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shumontha","family":"Dev","sequence":"additional","affiliation":[{"name":"Emergency Department, Guy\u2019s and Saint Thomas' NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,1,24]]},"reference":[{"key":"2025082710030363000_12.1.bcr-2018-227873.1","first-page":"284","article-title":"Horner\u2019s syndrome, an American discovery","volume":"25","author":"Kisch","year":"1951","journal-title":"Bull Hist Med"},{"key":"2025082710030363000_12.1.bcr-2018-227873.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1969.03160100089019"},{"key":"2025082710030363000_12.1.bcr-2018-227873.3","first-page":"35","article-title":"Horner syndrome: clinical perspectives","volume":"7","author":"Kanagalingam","year":"2015","journal-title":"Eye Brain"},{"key":"2025082710030363000_12.1.bcr-2018-227873.4","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609400409"},{"key":"2025082710030363000_12.1.bcr-2018-227873.5","unstructured":"Thompson H , Maxner C , Corbett J . Horner\u2019s syndrome due to damage to the preganglionic neuron of the oculosympathetic pathway. Huber A , ed. Symphathetics and the Eye. Stuttgart, Germany: Ferdinand Enke, 1990."},{"key":"2025082710030363000_12.1.bcr-2018-227873.6","doi-asserted-by":"publisher","DOI":"10.1148\/rg.282075710"},{"key":"2025082710030363000_12.1.bcr-2018-227873.7","first-page":"583","article-title":"Shoulder pain as an early symptom of pancoast tumor","volume":"77","author":"Yacoub","year":"1980","journal-title":"J Med Soc N J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227873","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:03:10Z","timestamp":1756314190000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,24]]},"published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1136\/bcr-2018-227873"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227873","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}