Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
권호 표지

A Case of True Neurogenic Thoracic Outlet Syndrome by Cervical Rib

경늑골에 의한 신경인성 가슴문증후군 1예

  • Lee, Da-In (Department of Neurology, Kyungpook National University School of Medicine) ;
  • Kim, Sun-Young (Department of Neurology, Ulsan University Hospital) ;
  • Suh, Chung-Kyu (Department of Neurology, Kyungpook National University School of Medicine)
  • 이다인 (경북대학교 의과대학 신경과학교실) ;
  • 김선영 (울산대학교 의과대학 울산대학교병원 신경과) ;
  • 서정규 (경북대학교 의과대학 신경과학교실)
  • Received : 2008.10.14
  • Accepted : 2009.06.08
  • Published : 2009.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

True neurogenic thoracic outlet syndrome (NTOS) is an extremely rare condition, probably occurring with an incidence of one per million. It is often misdiagnosed as carpal tunnel syndrome or benign focal amyotrophy, and careful clinical examination, electrodiagnostic studies, and imaging studies are essential for the correct diagnosis. Here, we report a 23-year-old woman with slowly progressive weakness and atrophy of abductor pollicis brevis who were found to have NTOS caused by cervical rib.

Keywords

References

  1. PeetRM, Henriksen MD, Anderson TP. Thoracic outlet syn-drome: evaluation of a therapeutic exercise program. Mayo Clin Proc 1956;31:281-287.
  2. Wilbourn AJ, Porter JM. Thoracic outlet syndromes. In: Weiner MA Spine: state of the Art Reviews. Philadelphia: Hanley and Belfus. 1988;597-626.
  3. Nadine LF, Antoine M, Thierry M, Jean-Marc L, Pierre B. True neurogenic thoracic outlet syndrome: electrophysiological diagnosis in six cases. Muscle Nerve 1998;21:1129-1134. https://doi.org/10.1002/(SICI)1097-4598(199809)21:9<1129::AID-MUS3>3.0.CO;2-9
  4. Gilliatt RW Thoracic outlet syndromes. In: Dyck PJ, Thomas PK, Lambert EH, Bunge R: Peripheral neuropathy. Philadel-phia: Saunders. 1984;1409-1424.
  5. Jay AL. Thoracic outlet syndrome "recurrence". Peripheral neurology: Case studies. 3rd ed. New York. Oxford. 2000; 255-258.
  6. Sanders RJ. Thoracic outlet syndrome a common sequela of neck injuries. Philadelpia. Lippincott. 1991;21-31.
  7. Milind JK, Kristi M, Michele H, Eric LL. Medial antebrachial cutaneous sensory studies in the evaluation of neurogenic thoracic outlet syndrome. Muscle Nerve 1998;21:647-649. https://doi.org/10.1002/(SICI)1097-4598(199805)21:5<647::AID-MUS13>3.0.CO;2-S
  8. Park BM, Hahn SB, Yoon YS. Thoracic outlet syndrome. J Korean Orthop Assoc 1981;16:662-667.
  9. Hahn SB, Park BM, Lim YJ. Thoracic outlet syndrome. J Korean Orthop Assoc 1990;25:919-926.
  10. Kim SS, Shon SK, Lee MJ, Kim HJ. Cervical rib syndrome: two case report. J Korean Orthop Assoc 2008;43:510-513. https://doi.org/10.4055/jkoa.2008.43.4.510