title: Brachial plexus lipomata presenting with neurogenic and venous thoracic outlet syndrome: case reports and review of the literature.
abstract: BACKGROUND
  Compression of the brachial plexus causing neurogenic symptoms is involved in most cases referred to vascular surgeons for consideration of treatment of thoracic outlet syndrome (TOS). The causative factor of the compression can be difficult to diagnose with multiple pathologies implicated.
  
  
  METHODS
  We present 2 rare cases of supraclavicular lipomata causing compression of the neurovascular structures in the thoracic outlet. The only 6 other cases of brachial plexus lipomata were described to our knowledge in the literature worldwide.
  
  
  RESULTS
  We highlight that there are a small number of neurogenic TOS cases where the causative pathology can be successfully managed by surgery with expectation of a good recovery.
  
  
  CONCLUSIONS
  Surgeons operating on these lesions can expect good symptom resolution for their patients.
authors.affiliation: Department of Vascular Surgery, Queen Elizabeth Hospital Birmingham, The University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
authors.forename: Smilen
authors.initials: S
authors.lastname: Kuyumdzhiev
authors.affiliation: Department of Vascular Surgery, Queen Elizabeth Hospital Birmingham, The University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
authors.forename: Michael Lewis
authors.initials: ML
authors.lastname: Wall
authors.affiliation: Department of Vascular Surgery, Queen Elizabeth Hospital Birmingham, The University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
authors.forename: Radu
authors.initials: R
authors.lastname: Rogoveanu
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Queen Elizabeth Hospital Birmingham, The University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
authors.forename: Dominic
authors.initials: D
authors.lastname: Power
authors.affiliation: Department of Vascular Surgery, Queen Elizabeth Hospital Birmingham, The University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK. Electronic address: rajiv@vohra.org.uk.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Vohra
mesh_terms: D020516:Brachial Plexus Neuropathies / Q000209:etiology* / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D013901:Thoracic Outlet Syndrome / Q000209:etiology* / Q000601:surgery*