Skip to main content
Article thumbnail
Location of Repository

True neurogenic thoracic outlet syndrome in a competitive swimmer: a case report of this rare association Síndrome do desfiladeiro torácico verdadeiro em um nadador competitivo: relato de caso desta rara associação

By Diogo Fraxino de Almeida, Richard D. Meyer and Shin J. Oh

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.<br>A síndrome do desfiladeiro torácico verdadeiro é condição incomum, apesar de ser uma razão freqüente de encaminhamento aos laboratórios de eletroneuromiografia. Nós descrevemos o segundo caso na literatura desta doença rara em um nadador competitivo com fraqueza e atrofia severa da eminência tenar esquerda. A ENMG mostrou plexopatia do tronco inferior. O RX e as ressonâncias magnéticas da coluna cervical e do plexo braquial foram normais. Exploração cirúrgica mostrou o tronco inferior tracionado por uma banda fibrosa. Ela foi ressecada e procedeu-se a neurólise do plexo com melhora gradual da função. Nós discutimos a possível fisiopatologia desta associação

Topics: síndrome do desfiladeiro torácico, natação, plexopatia braquial, thoracic outlet syndrome, swimming, brachial plexopathy, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571, Internal medicine, RC31-1245, Medicine, R, DOAJ:Neurology, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Academia Brasileira de Neurologia (ABNEURO)
Year: 2007
DOI identifier: 10.1590/S0004-282X2007000700031
OAI identifier: oai:doaj.org/article:3644463ad28c41fabafd2c3735495d02
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://doaj.org/toc/1678-4227 (external link)
  • https://doaj.org/toc/0004-282X (external link)
  • http://www.scielo.br/scielo.ph... (external link)
  • https://doaj.org/article/36444... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.