ELECTRODIAGNOSTIC FEATURES OF TRUE NEUROGENIC THORACIC OUTLET SYNDROME

被引：57
|
作者：
Tsao, Bryan E. [1 ]
Ferrante, Mark A. [2 ]
Wilbourn, Asa J. [3 ]
Shields, Robert W., Jr. [3 ]
机构：
[1] Loma Linda Univ, Sch Med, Dept Neurol, Loma Linda, CA 92354 USA
[2] Univ Tennessee, Ctr Hlth Sci, Dept Neurol, Memphis, TN 38163 USA
[3] Cleveland Clin, Neuromuscular Ctr, Cleveland, OH 44106 USA
来源：
MUSCLE & NERVE | 2014年 / 49卷 / 05期
关键词：
brachial plexopathy; cervical rib syndrome; electromyography; lower plexus; true neurogenic thoracic outlet syndrome; ANTEBRACHIAL CUTANEOUS NERVE; BRACHIAL PLEXOPATHIES; CERVICAL RIB; CONDUCTION; DIAGNOSIS; SURGERY; BAND;
D O I：
10.1002/mus.24066
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Introduction: We report the electrodiagnostic (EDX) features of 32 patients with surgically verified true neurogenic thoracic outlet syndrome (TN-TOS). Methods: Retrospective record review. Results: We found uniform EDX evidence of a chronic axon loss process that affected the lower portion of the brachial plexus and disproportionately involved the T1 more than the C8 sensory and motor fibers. Because of this relationship, the medial antebrachial cutaneous sensory nerve (T1) and median motor (T1>C8) study combination was abnormal in 89%, whereas response combinations that primarily assessed the C8 fibers were less frequently affected. Conclusions: The characteristic EDX features of TN-TOS are T1>C8 nerve fiber involvement. A comprehensive EDX examination of the lower plexus with contralateral comparison studies is imperative to diagnose this disorder accurately. Muscle Nerve49: 724-727, 2014
引用
收藏
页码：724 / 727
页数：4
相关论文
共 50 条
  • [21] Recurrent neurogenic thoracic outlet syndrome
    Ambrad-Chalela, E
    Thomas, GI
    Johansen, KH
    AMERICAN JOURNAL OF SURGERY, 2004, 187 (04) : 505 - 510
  • [22] INVESTIGATION OF NONSPECIFIC NEUROGENIC THORACIC OUTLET SYNDROME
    SOBEY, AVF
    GREWAL, RP
    HUTCHISON, KJ
    URSCHEL, JD
    JOURNAL OF CARDIOVASCULAR SURGERY, 1993, 34 (04) : 343 - 345
  • [23] Updated Perspectives on Neurogenic Thoracic Outlet Syndrome
    Paul J. Christo
    Kai McGreevy
    Current Pain and Headache Reports, 2011, 15 : 14 - 21
  • [24] Histopathological basis for neurogenic thoracic outlet syndrome
    Tubbs, R. Shane
    Louis, Robert G., Jr.
    Wartmann, Christopher T.
    Lott, Robert
    Chua, Gina D.
    Kelly, David
    Palmer, Cheryl Ann
    Shoja, Mohamadali M.
    Loukas, Marios
    Oakes, W. Jerry
    JOURNAL OF NEUROSURGERY-SPINE, 2008, 8 (04) : 347 - 351
  • [25] A case of neurogenic thoracic outlet syndrome for which cervical rib resection was effective
    Shimizu, Junzo
    Moriya, Makio
    Kamesui, Tadashi
    Okamoto, Jumpei
    Nagayoshi, Toshiro
    Kobayashi, Koichiro
    CHIRURGIA-ITALY, 2023, 36 (02): : 88 - 92
  • [26] Gilliatt-Sumner hand or true neurogenic thoracic outlet syndrome. A report on seven operated cases
    Dubuisson, A.
    Khac, M. Nguyen
    Scholtes, F.
    Racaru, T.
    Kaschten, B.
    NEUROCHIRURGIE, 2011, 57 (01) : 9 - 14
  • [27] Neurogenic Thoracic Outlet Syndrome in Athletes - Nonsurgical Treatment Options
    Warrick, Alexandra
    Davis, Brian
    CURRENT SPORTS MEDICINE REPORTS, 2021, 20 (06) : 319 - 326
  • [28] New Diagnostic and Treatment Modalities for Neurogenic Thoracic Outlet Syndrome
    Weaver, M. Libby
    Lum, Ying Wei
    DIAGNOSTICS, 2017, 7 (02):
  • [29] Current Concepts in the Management of Neurogenic Thoracic Outlet Syndrome: A Review
    Khabyeh-Hasbani, Nathan
    Connors, Katherine
    Buksbaum, Joshua R.
    Koehler, Steven K.
    PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, 2023, 11 (03) : E4829
  • [30] Elective brachial plexus decompression in neurogenic thoracic outlet syndrome
    Diner, C.
    Mathieu, L.
    Vandendries, C.
    Oberlin, C.
    Belkheyar, Z.
    HAND SURGERY & REHABILITATION, 2023, 42 (01) : 9 - 14
12345