Differential Diagnosis for Post-Neck Surgery Cold Hand
- Single most likely diagnosis
- Complex regional pain syndrome (CRPS): This condition is a common complication after neck surgery, characterized by chronic pain, swelling, and changes in skin temperature and color. The cold hand could be a manifestation of CRPS, which often occurs after trauma or surgery.
- Other Likely diagnoses
- Thoracic outlet syndrome (TOS): This condition involves compression of the nerves and/or blood vessels that pass into the thoracic outlet (the space between your collarbone and first rib). It can cause pain, numbness, and coldness in the hand, which may be exacerbated by neck surgery.
- Cervical sympathetic dysfunction: Damage to the sympathetic nerves in the neck during surgery can lead to abnormal blood flow regulation, resulting in cold hands.
- Vasospasm: Temporary narrowing of the blood vessels can cause cold hands, which may be triggered by surgery, stress, or other factors.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Arterial thrombosis or embolism: A blood clot in the arteries supplying the arm can cause coldness, pain, and numbness. Although rare, this condition requires immediate medical attention to prevent permanent damage.
- Subclavian artery stenosis or occlusion: Narrowing or blockage of the subclavian artery can reduce blood flow to the arm, leading to cold hands. This condition may be asymptomatic until it becomes severe.
- Rare diagnoses
- Raynaud's phenomenon: A condition characterized by spasms of the blood vessels in response to cold or stress, causing discoloration and coldness in the hands and feet.
- Buerger's disease (thromboangiitis obliterans): A rare disease that affects the blood vessels in the arms and legs, leading to inflammation, clots, and reduced blood flow, which can cause cold hands.