Torasik Çıkış Sendromunda Yanlış Tanı ve Tedavi: Olgu Sunumu

Öz

Anahtar Kelimeler

• TOS
• servikal kosta
• yanlış tanı
• TOS, servikal kosta, yanlış tanı

Misdiagnosis and Treatment In Thorasic Outlet Syndrome: A Case Report

Öz

Thorasic outlet syndrome (TOS) is characterized by different neurovascular signs and symptoms that may occur due to compression of the brachial plexus and subclavian vessels in the thoracic outlet region. In this case we reported a female patient with bilateral TOS due to cervical ribs that misdiagnosed as a cubital tunnel syndrome and CTS (carpal tunnel syndrome) treated surgically twice time. The importance of the accurate diagnosis of ulnar paresthesia was emphasized. Detailed physical examination and radiological imaging is necessary and important for the accurate diagnosis of TOS in patients with paresthesia in the arms.

Anahtar Kelimeler

• TOS
• cervical rib
• misdiagnosis
• TOS, cervical rib, misdiagnosis

Kaynakça

1. 1.Dos Reis Neto, Pucinelli Ml, Silva De Souza AW, Sato EI. Thoracic outlet syndrome (tos) mimicking takayasu’s arteritis: case report. Acta reumatol port 2009;34(1):96-101
2. 2. Nguyen T, Baung artner F, Nelems B. Bilateral rudimentary first ribs as a cause of thoracic outlet syndrome. J natl med assoc 1997;89(1): 69-73
3. 3. Foley JM, Finlayson H, Travlos A. A review of thoracic outlet syndrome and the possible role of botulinum toxin in the treatment of this syndrome. Toxins (basel). Nov 2012; 4(11): 1223–1235.
4. 4. Hooper TL, Denton J, Mcgillard MK, Brismee JM, Sizer PS. Thoracic outlet syndrome a controversial clinical condition.Part 1: anatomy, and clinical examination/diagnosis. J man manip ther. 2010;18(2):74–83.
5. 5. Samarasam I, Sadhu D, Agarwal S, Nayak S. Surgical management of thoracıc outlet syndrome:a 10-year experıence. Anz journal of surgery 2004;74(6):450-54
6. 6. Plewa MC, Delinger M. The false-positive rate of thoracic outlet syndrome shoulder maneuvers in healthy subjects. Acad emerg med. 1998;5(4):337–42
7. 7. Özgönenel l , Aslan H. True neurogenic thoracic outlet syndrome: a rare case report. İstanbul med j 2011;12(1):41-44
8. 8. Osterman al.The double crush syndrome. Orthop clin north am. 1988;19(1):147-55.

9. 9. Christopher CL, Bukry SA, Alsuleman S. Systematic review: the effectiveness of physical treatments on thoracic outlet syndrome in reducing clinical symptoms. Hong kong physiotherapy journal 2011;29(2):53-63
10. 10. Benjamin M Sucher, DO. Physical Medicine and Rehabilitation for Thoracic Outlet Syndrome Workup; emedicine.medscape.com
11. 11. Walter R. Frontera MD PhD, Julie K. Silver MD, Thomas D. Rizzo Jr. MD. Essentials of Physical M