medigraphic.com

2002, Number 4

<< Back Next >>

Rev Med Hosp Gen Mex 2002; 65 (4)

Thoracic outlet syndrome (TOS) A case report and review of the literature

Álvarez-Hernández E, Ávila-Ocampo RM

Language: Spanish
References: 14
Page: 226-229
PDF size: 82.09 Kb.


ABSTRACT

The thoracic outlet syndrome it refers to diverse clinical dysfunctions caused for the intermittent or persistent compression of the different elements that they leave the thorax toward the arm; reason why it can have vascular, neurological or both symptoms. We present the case of a 18 year-old patient with parestesias and disestesias, hiperhidrosis and Raynaud´s phenomenon that were presented when elevating superior extremities being demonstrated TOS by angiography. The thoracic outlet syndrome is a clinical entity with wide differential diagnoses. The patient’s appropriate valuation has value since presage the selection from candidates to conservative or surgical treatment it can generate excellent results in a high percentage of the cases.


REFERENCES

  1. Wilbourn AJ. Entrapment and other focal neuropathies. Thoracic outlet syndromes. Neurologic Clin 1999; 17 (3): 477-494.

  2. Nashel DJ. Entrapment neuropathies. In: Klippel JH, Dieppe PA. Rheumatology. Mosby, 1994; S5: 19.1-19.12.

  3. Leffert RD, Perlmutter GS. Thoracic outlet syndrome. Clin Orthop Relat Res 1999; 368: 66-79.

  4. Urschel HC, Razzuk MA. Neurovascular compression in the thoracic outlet. Changing management over 50 years. Ann Surg 1998; 228 (4): 609-617.

  5. Dymarkowski S, Bosmans H, Marchal G, Bogaert J. Three-dimensional MR angiography in the evaluation of thoracic outlet syndrome. AJR 1999; 173: 1005-1008.

  6. Hood DB, Kuehne J, Yellin AE, Weaver FA. Vascular complications of thoracic outlet syndrome. Am Surg 1997; 63: 913-917.

  7. Remy-Jardin M, Doyen J, Remy J et al. Functional anatomy of the thoracic outlet: evaluation with spiral CT. Radiology 1997; 205: 843-851.

  8. Molina JE. Combined posterior and transaxillary approach for neurogenic thoracic outlet syndrome. J Am Coll Surg 1998; 187: 39-45.

  9. Fantini GA. Reserving supraclavicular first rib resection for vascular complications of thoracic outlet syndrome. Am J Surg 1996; 172: 200-204.

  10. Urschel HC, Razzuk MA. Upper plexus thoracic outlet syndrome: Optimal therapy. Ann Thorac Surg 1997; 63: 935-939.

  11. Levin KH, Willbourn AJ, Maggiano HJ. Cervical rib and median sternotomy-related brachial plexopathies. A reassessment. Neurology 1998; 50: 1407-1413.

  12. Quartarone A, Girlanda P, Risitano G et al. Focal hand dystonia in a patient with thoracic outlet syndrome. J Neurol Neurosurg Psychiatry 1998; 65: 272-274.

  13. Casselman F, Vanslembrock K, Verougstraete L. An unusual cause of thoracic outlet syndrome. J Trauma 1997; 43 (1): 142-143.

  14. Chen F, Shapiro JA. Painful intraosseous ganglion of the scaphoid overshadowed by thoracic outlet syndrome. Scand J Plast Reconstr Hand Surg 1999; 33: 253-255.




2020     |     www.medigraphic.com