True neurogenic thoracic outlet syndrome in a competitive swimmer: a case report of this rare association.

Abstract:

:True neurogenic thoracic outlet syndrome (TOS) is an uncommon disorder despite of be a frequent reason for referral to the EMG laboratories. We describe the second case in the literature of true TOS in a competitive swimmer with progressive weakness and severe atrophy of the left thenar eminence. EMG showed lower trunk plexopathy. X-ray and MRI of the cervical spine and brachial plexus were normal. Surgical exploration evidenced the lower trunk retracted and pulled by a fibrous band. It was excised and neurolysis of the plexus was done with gradual improvement of function. We discuss the possible pathophysiology of this association.

journal_name

Arq Neuropsiquiatr

authors

Almeida DF,Meyer RD,Oh SJ

doi

10.1590/s0004-282x2007000700031

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

1245-8

issue

4B

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2007000700031

journal_volume

65

pub_type

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