What is it about?

Musculoskeletal pathology is common in primary care, but not always have a trivial origin. According to the symptoms and comorbidities of the patient, these pathologies have to make us think if is possible to be a guiding symptom of a more severe pathology. That is why we present the case of a young woman with cardiovascular risk factors (hypertension, smoking, obesity and sleep apnea-hypopnea syndrome) with pain at left trapezius and motor and sensory clinical alterations in left upper extremity. These comorbidities have in common their relationship with cerebrovascular pathology so, given the concomitant clinical musculoskeletal, we need to suspect this cause, as was in this case.

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Why is it important?

Improving lifestyle and prevention of risk factors is vital in preventing stroke at any age but more so in young adults because their presence increases the relative risk of developing this disease as to develop throughout his life other diseases caused by these risk factors. That is why we must make special emphasis on the treatment of these diseases as well as to understand that complications arising from it, such as stroke, may occur at any age. Due to that, is neccesary always appreciate it as a possible differential diagnosis in risk population. This is important to establish treatment and try to avoid the health, social and economic complications derived from this disease in the population affected.

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This page is a summary of: Trapezius Contracture and Loss of Strength, Journal of Medicine, August 2017, Bangladesh Journals Online (BanglaJOL),
DOI: 10.3329/jom.v18i2.33691.
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