Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report
Yıl: 2019 Cilt: 3 Sayı: 2 Sayfa Aralığı: 193 - 196 Metin Dili: İngilizce DOI: 10.30565/medalanya.536556 İndeks Tarihi: 14-11-2020
Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report
Öz: Thoracic Outlet Syndrome (TOS) is a complex of clinical symptoms characterized bythe compression of vascular and neurogenic structures which are localized within thethoracic outlet region. There is no gold standard diagnostic criterion for TOS and theanamnesis and physical examination are important tools for the diagnosis. Supportive and differential examinations are often electromyography (EMG), direct cervicalradiography, and neck MRI. Priority in treatment is conservative treatment consistingof medical treatment and physical therapy. Last surgical option is the surgical treatment consisting of the resection of the first costa and cervical costa, and the incisionof the scalenus anterior and scalenus medius muscles. It has been reported that TOSresulting from the compression of vascular structures, improved in a very short period of time after surgery, while in TOS resulting from the compression of neurogenicstructures the improvement occurs between 6 months and 1 year on average. Weperformed 1st costa resection on a TOS case with the compression of neurogenicstructures . Contrary to the literature, complaints of our case disappeared completelywithin 1 week. One month after the operation, EMG findings returned to normal.
Anahtar Kelime: Torasik Outlet Sendromunda Cerrahi Sonrasi Dramatik İyileşme: Olgu Sunumu
Öz: Torasik Outlet Sendromu (TOS); torasik çıkımdaki vasküler ve nörojenik yapıların basıya maruz kalmasıyla karakterize klinik semptomlar kompleksidir. TOS da altın standart bir tanı kriteri yoktur. Tanıda anamnez ve fizik muayenenin önemi büyüktür. Destekleyici ve ayırt edici tetkikler sıklıkla elektromiyolografi, direk servikal grafi ve boyun MR ıdır. Tedavide öncelik medikal tedavi ve fizik tedaviden oluşan konservatif tedavilerdir. Son seçenek 1.kostanın ve varsa servikal kostanın çıkarılması ve skalen anterior ve skalen medius kaslarının kesilmesinden oluşan cerrahi tedavidir. Vasküler yapılara bası sonucu gelişen TOS da cerrahi tedavi sonrasında düzelme bulguları çok kısa sürede ortaya çıkarken, nörojenik yapılara bası sonucu oluşan TOS bulguları ortalama 6 ay ile 1 yıl arasında düzelmektedir. Biz nörojenik yapılara bası bulgularıyla kliniğe yansıyan TOS vakamıza literatürde en fazla rastlanan transaksiller girişim yöntemiyle 1. kosta rezeksiyonu uyguladık. Literatürden farklı olarak vakamızın şikayetleri 1 hafta içerisinde tamamen kayboldu. Operasyondan 1 ay sonra ise EMG bulguları tamamen normale döndü.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | aslaner o (2019). Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report. Acta Medica Alanya, 3(2), 193 - 196. 10.30565/medalanya.536556 |
| Chicago | aslaner oktay Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report. Acta Medica Alanya 3, no.2 (2019): 193 - 196. 10.30565/medalanya.536556 |
| MLA | aslaner oktay Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report. Acta Medica Alanya, vol.3, no.2, 2019, ss.193 - 196. 10.30565/medalanya.536556 |
| AMA | aslaner o Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report. Acta Medica Alanya. 2019; 3(2): 193 - 196. 10.30565/medalanya.536556 |
| Vancouver | aslaner o Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report. Acta Medica Alanya. 2019; 3(2): 193 - 196. 10.30565/medalanya.536556 |
| IEEE | aslaner o "Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report." Acta Medica Alanya, 3, ss.193 - 196, 2019. 10.30565/medalanya.536556 |
| ISNAD | aslaner, oktay. "Dramatical Recovery of Thoracic Outlet Syndrome After Surgery: Case Report". Acta Medica Alanya 3/2 (2019), 193-196. https://doi.org/10.30565/medalanya.536556 |
