Neurogenic thoracic outlet syndrome: A case report and review of the literature

Boezaart, André P.; Haller, Allison; Laduzenski, Sarah; Koyyalamudi, Veerandra; Ihnatsenka, Barys; Wright, Thomas W.

doi:10.4103/0973-6042.70817

Cited by 40 publications

(50 citation statements)

References 47 publications

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“…These patients have vague and nonspecific pain in the upper extremity, neck, arm and medial part of forearm, paresthesia in fingers plus they have negative electro diagnostic study. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Concomitant neurogenic and vascular thoracic outlet syndrome due to multiple exostoses

et al. 2018

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“…These patients have vague and nonspecific pain in the upper extremity, neck, arm and medial part of forearm, paresthesia in fingers plus they have negative electro diagnostic study. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Concomitant neurogenic and vascular thoracic outlet syndrome due to multiple exostoses

et al. 2018

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“…Prior to the operation, patients should be monitored for diseases such as carpal tunnel syndrome, cubital tunnel syndrome, cervical disc, and tendinitis of the rotator cuff that can occur with or without TOS. If first-rib resection is to be performed, it is important to find the best operative approach with relatively few complications [ 9 ]. The experience of the surgical team is an important factor affecting surgical outcomes; therefore, the same experienced team performed the operations, and no chronological differences existed between the deployments of the two techniques.…”

Section: Discussionmentioning

confidence: 99%

“…A transaxillary approach for such a resection was introduced by Roos [ 8 ] in 1966. A TOS operation should be well thought-out, and an accurate diagnosis should be made before considering decompression surgery to be the final solution [ 9 ]. Complications of TOS surgery include the recurrence of symptoms, brachial plexus, phrenic nerve, long thoracic nerve, complete or transient paralysis, subclavian artery and vein injuries, axillary artery thrombosis, hemothorax, pneumothorax, chylothorax, permanent damage to the brachial plexus, severe sequelae such as causalgia and weak ness of the hand muscles, sensory deficits, autonomic dysfunction, and at times even death [ 10 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Complications after Surgical Treatment of Thoracic Outlet Syndrome

Hosseinian

Loron

Soleimanifard

2017

Korean J Thorac Cardiovasc Surg

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BackgroundSurgical treatment of thoracic outlet syndrome (TOS) is necessary when non-surgical treatments fail. Complications of surgical procedures vary from short-term post-surgical pain to permanent disability. The outcome of TOS surgery is affected by the visibility during the operation. In this study, we have compared the complications arising during the supraclavicular and the transaxillary approaches to determine the appropriate approach for TOS surgery.MethodsIn this study, 448 patients with symptoms of TOS were assessed. The male-to-female ratio was approximately 1:4, and the mean age was 34.5 years. Overall, 102 operations were performed, including unilateral, bilateral, and reoperations, and the patients were retrospectively evaluated. Of the 102 patients, 63 underwent the supraclavicular approach, 32 underwent the transaxillary approach, and 7 underwent the transaxillary approach followed by the supraclavicular approach. Complications were evaluated over 24 months.ResultsThe prevalence of pneumothorax, hemothorax, and vessel injuries in the transaxillary and the supraclavicular approaches was equal. We found more permanent and transient brachial plexus injuries in the case of the transaxillary approach than in the case of the supraclavicular approach, but the difference was not statistically significant. Persistent pain and symptoms were significantly more common in patients who underwent the transaxillary approach (p<0.05).ConclusionThe supraclavicular approach seems to be the more effective technique of the two because it offers the surgeon better access to the brachial plexus and a direct view. This approach for a TOS operation offers a better surgical outcome and lower reoperation rates than the transaxillary method. Our results showed the supraclavicular approach to be the preferred method for TOS operations.

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“…Depending on the level being targeted, rates of postoperative Horner syndrome range from 0.7% to 3% (27). In patients undergoing thoracic outlet decompression for neurogenic or vascular thoracic outlet syndrome, approximately 1% of patients will develop at least temporary Horner syndrome, especially when surgery is from a supraclavicular approach with resection of the first rib and middle scalene muscle (28,29).…”

Section: Pathologic Conditionsmentioning

confidence: 99%

Cross-sectional Imaging Anatomy and Pathologic Conditions Affecting Thoracic Nerves

Cummings¹,

Sridhar²,

Parsons³

et al. 2017

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While in many cases they are not directly visualized, awareness of the thoracic nerves and their courses at cross-sectional imaging is important for radiologists. An understanding of the normal function of each nerve is important, as many patients present with neurologic signs and symptoms that can be used to reinforce search patterns for disease and detection of supportive radiologic abnormalities. In the case of primary neoplasms, understanding the expected presence of a nerve in the location of a mass can enhance and improve the accuracy of differential diagnoses. Even in the absence of neurologic symptoms, secondary involvement of these structures by malignancy or close proximity to other intrathoracic disease can prompt significant alterations in oncologic or surgical management. The major components of the thoracic nervous system with which the thoracic radiologist must be familiar are the phrenic, vagus, recurrent laryngeal, intercostal, and long thoracic nerves in addition to the sympathetic chain and brachial plexus. The anatomic structure and course of each component are described including its major functions. Major clinical signs and symptoms attributable to nerve dysfunction or disease are reviewed as well as any associated radiologic signs. Emphasis is placed on primary and secondary malignant involvement of the nerves and iatrogenic and traumatic injuries. Online supplemental material is available for this article. RSNA, 2016.

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Neurogenic thoracic outlet syndrome: A case report and review of the literature

Cited by 40 publications

References 47 publications

Concomitant neurogenic and vascular thoracic outlet syndrome due to multiple exostoses

Concomitant neurogenic and vascular thoracic outlet syndrome due to multiple exostoses

Evaluation of Complications after Surgical Treatment of Thoracic Outlet Syndrome

Cross-sectional Imaging Anatomy and Pathologic Conditions Affecting Thoracic Nerves

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