Bilateral neurogenic thoracic outlet syndrome.
We report a case of bilateral neurogenic thoracic outlet syndrome (TOS). Electrophysiological examination suggested the presence of bilateral lower brachial plexus neuropathy. Radiography showed rudimentary bilateral cervical ribs. In the cases reported in the literature to date, the clinical findings are typically unilateral despite the common presence of bilateral bony abnormalities. Neurogenic TOS should be considered in young women, even if they present with bilateral symptoms, when they have occupations requiring strenuous activity of the upper limbs.
Tilki
Hacer Erdem
HE
Department of Neurology, Ondokuz Mayis University, Samsun, Turkey. hacererdem@superonline.com
Stålberg
Erik
E
Incesu
Lütfi
L
Başoğlu
Ahmet
A
D000293:Adolescent; D020516:Brachial Plexus Neuropathies / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D002573:Cervical Rib Syndrome / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D002574:Cervical Vertebrae / Q000002:abnormalities / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D005260:Female; D007839:Functional Laterality / Q000502:physiology*; D006225:Hand / Q000294:innervation / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D020423:Median Neuropathy / Q000175:diagnosis; D009133:Muscular Atrophy / Q000209:etiology; D012272:Ribs / Q000002:abnormalities* / Q000000981:diagnostic imaging; D012737:Sex Factors; D013901:Thoracic Outlet Syndrome / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D017769:Ulnar Nerve Compression Syndromes / Q000175:diagnosis