True Neurogenic Thoracic Outlet Syndrome Following Hyperabduction during Sleep: A Case Report.
10.5535/arm.2011.35.4.565
- Author:
Ji Hoon LEE
1
;
Hyun Soo CHOI
;
Seung Nam YANG
;
Won Min CHO
;
Seung Hwa LEE
;
Hwan Hoon CHUNG
;
Jae Seung SHIN
;
Dong Hwee KIM
Author Information
1. Department of Physical and Rehabilitation Medicine, Korea University College of Medicine, Ansan 425-707, Korea. rmkdh@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Thoracic outlet syndrome;
Neurogenic;
Hyperabduction sleep
- MeSH:
Adult;
Brachial Plexus Neuropathies;
Female;
Fingers;
Humans;
Posture;
Sensation;
Shoulder;
Shoulder Pain;
Thoracic Outlet Syndrome
- From:Annals of Rehabilitation Medicine
2011;35(4):565-569
- CountryRepublic of Korea
- Language:English
-
Abstract:
True neurogenic thoracic outlet syndrome (TOS) is an uncommon disease and is difficult to diagnose at the early stage and then completely cure. We experienced a case of true neurogenic TOS with typical clinical symptoms and electrophysiologic findings as a result of repetitive habitual sleep posture. A 31-year-old woman who had complained of progressive tingling sensation on the 4th and 5th fingers with shoulder pain was diagnosed of brachial plexopathy at the lower trunk level by electrodiagnostic studies. There was no other cause of brachial plexopathy except her habit of hyperabduction of shoulder during sleep. This case demonstrated that the habitual abnormal posture can be the only major cause of neurogenic TOS. It is of importance to consider TOS with the habitual cause because simple correction of the posture could stabilize or even reverse disease progress.
