Thoracic operculum syndrome. Unexpected diagnosis in a patient with left upper limb paresthesias
Keywords:
thoracic outlet syndrome, neurovascular compressionAbstract
The thoracic outlet syndrome refers to the set of signs and symptoms that arise from compression of the neurovascular bundle by structures located above the first rib and behind the clavicle. Clinical manifestations depend on the affected structure (neurogenic, arterial or venous). The complementary study chosen will depend on the affected structure. Treatment is only performed in symptomatic patients. Therapeutic includes from physical therapy, interscalene injection of anesthetic agents, steroids or botulinum toxin type A (neurogenic), directed thrombolysis (vascular) catheter, and/or decompressive surgery.
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