{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:19:52Z","timestamp":1760235592923,"version":"build-2065373602"},"reference-count":58,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background: Glioblastoma is the most frequent and aggressive malignant brain tumor among adults. Unfortunately, its symptoms can vary considerably depending on the size, location and the anatomic structures of the involved brain. Case report: A 58-year-old male amateur cyclist who suffered from sharp arm pain was examined for a thoracic outlet syndrome due to a previous clavicle fracture. Because of ambiguous results of the neck and nerve plexus imaging, he was referred to a neurosurgeon who properly suspected a brain tumor. The neuroimaging of the brain shown a 3 cm disploriferative mass with a blood enhancement within the left parietal lobe. The mass was urgently removed, and its histologic analysis stated a grade 4 glioblastoma. Conclusion: This case report highlights the differential diagnosis process and the teamwork approach needed to diagnose a rare presentation of a brain glioblastoma, which started its symptoms mimicking a thoracic outlet syndrome caused by a previous bone fracture.<\/jats:p>","DOI":"10.3390\/medicina57090908","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T22:49:51Z","timestamp":1630363791000},"page":"908","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Thoracic Outlet Syndrome That Concealed a Glioblastoma. Findings from a Case Report"],"prefix":"10.3390","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4848-4262","authenticated-orcid":false,"given":"Lorenzo","family":"Storari","sequence":"first","affiliation":[{"name":"Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DI-NOGMI), Campus of Savona\u2014University of Genova, Via Magliotto 2, 17100 Savona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3233-4227","authenticated-orcid":false,"given":"Manuel","family":"Signorini","sequence":"additional","affiliation":[{"name":"Department of Radiology, ULSS 9 Scaligera, Mater Salutis Hospital, 37045 Legnago, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerio","family":"Barbari","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DI-NOGMI), Campus of Savona\u2014University of Genova, Via Magliotto 2, 17100 Savona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8981-2085","authenticated-orcid":false,"given":"Firas","family":"Mourad","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Translation Medicine, Faculty of Medicine and Surgery, University of Rome Tor Vergata, 00133 Rome, Italy"},{"name":"Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, L-4671 Differdange, Luxembourg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mattia","family":"Bisconti","sequence":"additional","affiliation":[{"name":"Department of Medicine and Health Science \u201cVincenzo Tiberio\u201d, University of Molise, c\/o Cardarelli Hospital, C\/da Tappino, 86100 Campobasso, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5315-4236","authenticated-orcid":false,"given":"Mattia","family":"Salomon","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Translation Medicine, Faculty of Medicine and Surgery, University of Rome Tor Vergata, 00133 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo","family":"Rossettini","sequence":"additional","affiliation":[{"name":"School of Physiotherapy, University of Verona, 37100 Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9683-9975","authenticated-orcid":false,"given":"Filippo","family":"Maselli","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DI-NOGMI), Campus of Savona\u2014University of Genova, Via Magliotto 2, 17100 Savona, Italy"},{"name":"Sovrintendenza Sanitaria Regionale Puglia INAIL, 70126 Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1590\/1413-785220172503170849","article-title":"Shoulder disorders in an outpatient clinic: An epidemiological study","volume":"25","author":"Malavolta","year":"2017","journal-title":"Acta. 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