neurogenic thoracic outlet syndrome surgery

Call (212) 305-3408 for existing patients, (212) 304-7535 for new patients, or request an appointment online to get started today. Neurogenic thoracic outlet syndrome (nTOS) is a condition involving chronic compression of the brachial plexus. If you need help for a lung or chest issue, we’re here for you. Clinical manifestations can include upper extremity pain, paresthesias, numbness, weakness, fatigability, swelling, discoloration, and Raynaud phenomenon. Regarding neurogenic TOS, surgeons tailor the approach based on the person’s overall health and the complexity of the surgery. Thoracic outlet syndrome (TOS) typically presents as upper extremity symptoms caused by compression of the neurovascular structures in the area of the neck above the first rib. Three structures are at risk: the brachial. In the case of venous TOS, such as in Pagett-Schroetter syndrome, r a transaxillary decompression may be recommended, whereas in arterial compression, a supraclavicular approach may be preferred. Thoracic outlet syndrome (TOS) is a group of disorders all having in common compression at the thoracic outlet. Depending on symptoms and which structures are involved, TOS surgery can be performed by either a supraclavicular or transaxillary approach. Those with severe TOS symptoms, even after physical therapy, may be eligible for surgical treatment. Those diagnosed with neurogenic TOS are first prescribed physical therapy to increase motion in the neck and shoulders, strengthen muscles, and improve posture. The diagnosis of TOS is established based on symptoms, physical examination, imaging studies such as MRI and EMG, and nerve conduction studies. Symptoms of TOS include pain in the neck and shoulder areas and numbness in the arm and hand. By far, the majority of people with a diagnosis of thoracic outlet syndrome have neurogenic TOS. CONCLUSIONS Surgical treatment of suspected neurogenic TOS relieves pain and sensory disturbance (90), but is less effective for muscle weakness (50). Thoracic outlet syndrome (TOS) is a term used to describe symptoms stemming from compression of either the subclavian artery that supplies blood to the head and arms and passes beneath the clavicle (arterial thoracic outlet syndrome) the subclavian vein (venous thoracic outlet syndrome) or the brachial plexus, a group of spinal nerves emerging from the neck and leading into the arms (neurogenic thoracic outlet syndrome).Īlthough arterial and venous TOS are well-recognized variations of TOS, they account for less than 5% of incidents of the condition. There are various approaches to treatment, including surgery, that are dependent on the type of structure that is compressed.It can be caused by the compression of arteries, veins, or nerves near the neck.Thoracic outlet syndrome involves pain in the neck and shoulder areas and numbness in the arms or hands.

Thoracic Outlet Syndrome refers to conditions caused by the compression of nerves and/or blood vessels in the neck and upper chest.

Neurogenic thoracic outlet syndrome surgery