Authors’ Response to the Letter to the Editor on “Dynamic Ultrasound Imaging of the Brachial Plexus for Diagnosis of Thoracic Outlet Syndrome”

Surgical treatment for thoracic outlet syndrome (TOS) is a very controversial surgery because objective diagnosis, such as image and electrophysiological examination, is very difficult. Clinical provocation tests including brachial plexus compression tests, such as Morley and Roos, and vascular compression tests, such as Wright and Eden ,are not high in specificity and are likely to be positive even in healthy persons and patients with carpal tunnel syndrome. We place emphasis on the laterality of latency and amplitude in the sensory neural action potential (SNAP) of the medial antebrachial cutaneous nerve and ulnar nerve. After enough stretching exercises of scapular stabilizers and brachial plexus block, we always select surgery. In this presentation, I would like to show our diagnosis method and treatment strategy including surgery.

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Letter to the Editor. Nerve repair in brachial plexus birth injury

Journal of Neurosurgery Pediatrics ◽

10.3171/2020.7.peds20642 ◽

2021 ◽

Vol 27 (1) ◽

pp. 122-123

Author(s):

Willem Pondaag ◽

Justus L. Groen ◽

Martijn J. A. Malessy

Keyword(s):

Brachial Plexus ◽

Nerve Repair ◽

Birth Injury ◽

Letter To The Editor ◽

Brachial Plexus Birth Injury

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Anatomic Variation of the Phrenic Nerve and Brachial Plexus Encountered during 100 Supraclavicular Decompressions for Neurogenic Thoracic Outlet Syndrome with Associated Postoperative Neurologic Complications

Annals of Vascular Surgery ◽

10.1016/j.avsg.2019.04.010 ◽

2020 ◽

Vol 62 ◽

pp. 70-75 ◽

Cited By ~ 1

Author(s):

Scott R. Golarz ◽

Joseph M. White

Keyword(s):

Brachial Plexus ◽

Phrenic Nerve ◽

Thoracic Outlet Syndrome ◽

Anatomic Variation ◽

Neurologic Complications ◽

Neurogenic Thoracic Outlet Syndrome

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Ultrasound Imaging of Brachial Plexus: In Reply

Anesthesiology ◽

10.1097/00000542-200405000-00051 ◽

2004 ◽

Vol 100 (5) ◽

pp. 1326-1327 ◽

Cited By ~ 5

Author(s):

Anahi Perlas ◽

Vincent W. S. Chan

Keyword(s):

Brachial Plexus ◽

Ultrasound Imaging

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Neurogenic Thoracic Outlet Syndrome Caused by Vascular Compression of the Brachial Plexus: A Report of Two Cases

Journal of Brachial Plexus and Peripheral Nerve Injury ◽

10.1055/s-0037-1607977 ◽

2018 ◽

Vol 13 (01) ◽

pp. e1-e3

Author(s):

Amgad Hanna ◽

Larry Bodden ◽

Gabriel Siebiger

Keyword(s):

Brachial Plexus ◽

Thoracic Outlet Syndrome ◽

Vascular Compression ◽

Repetitive Motion ◽

Physical Trauma ◽

Neurogenic Thoracic Outlet Syndrome ◽

Inferior Portion ◽

Pass Through ◽

Neurogenic Tos

AbstractThoracic outlet syndrome (TOS) is caused by compression of the brachial plexus and/or subclavian vessels as they pass through the cervicothoracobrachial region, exiting the chest. There are three main types of TOS: neurogenic TOS, arterial TOS, and venous TOS. Neurogenic TOS accounts for approximately 95% of all cases, and it is usually caused by physical trauma (posttraumatic etiology), chronic repetitive motion (functional etiology), or bone or muscle anomalies (congenital etiology). We present two cases in which neurogenic TOS was elicited by vascular compression of the inferior portion of the brachial plexus.

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