Venous Thoracic Outlet Syndrome as a Cause of Intractable Migraines.

Abstract:

:Thoracic outlet syndrome (TOS) refers to the compression of the neurovascular bundle within the thoracic outlet. Cases are classified by primary etiology-arterial, neurogenic, or venous. In addition to the typical symptoms of arm swelling and paresthesias, headaches have been reported as a potential symptom of TOS. In this report, we describe a patient with debilitating migraines, which were consistently preceded by unilateral arm swelling. Resolution of symptoms occurred only after thoracic outlet decompression. Patients with migraines and concomitant swelling and/or paresthesias, especially related to provocative arm maneuvers, should be considered a possible atypical presentation of TOS and evaluated in more detail.

journal_name

Ann Vasc Surg

authors

Chahwala V,Tashiro J,Li X,Baqai A,Rey J,Robinson HR

doi

10.1016/j.avsg.2016.05.109

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

285.e5-285.e8

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(16)30634-3

journal_volume

39

pub_type

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