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Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie. |
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11-15-2012, 07:20 PM | #1 | ||
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11-15-2012, 08:07 PM | #2 | ||
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11-15-2012, 08:14 PM | #3 | ||
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MRA showed compression of jugular vein by manubrium and high signal in sigmoid sinus. Also compression of BP in thoracic outlet and other vascular compression. I'm waiting for the radiologists report. It was done last week.
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11-15-2012, 08:55 PM | #4 | ||
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i am actually trying to drive this point across in another thread. VTOS and NTOS are two totally different disease processed. VTOS is by definition compression of the subclavian vein at costoclavicular space ( the space between your collar bone and your first rib ) NTOS is the compression of brachial plexus in scalene triangle (triangle consist of anterior scalene, middle scalene and first rib ) These are two separate spaces. In my experience ( close to 260 cases in the past two years). the best diagnostic test is a invasive procedure called venogram ( done by a catheter in the affected arm vein and contrast dye injected under x-ray ) this is the gold standard for VTOS dx. MRI or MRV or MRA is not the test of choice. the universal symptom of VTOS( aka effort thrombosis) is arm swelling.
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"Thanks for this!" says: | Coop42 (11-16-2012), NerPain4 (11-17-2012), Nottherightkindofdr (11-20-2012), thoracicinlet (11-20-2012), tic2 (11-15-2012) |
11-15-2012, 09:50 PM | #5 | ||
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So in general can or is pulsatile tinnitus a symptom of arterial or venous TOS. |
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11-15-2012, 10:32 PM | #6 | ||
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11-17-2012, 05:31 AM | #7 | ||
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Hello~ I have a question and thank you doctor for answering questions about TOS.
I had the "TOS MRI/MRA" done in Northern California and on the MRA images, the left side just showed one tiny blood vessel blocked off in the arms up position. The right side, with the arms up, had a complete gap with all the blood vessels in what looked like a 2 inch segment black on the images. It was a dramatic MRI/MRA and the radiologist called me to tell me I had TOS and told me to see particular surgeons for surgical evaluations. I had a severe flare up after the exam. The doctors always said I had neurogenic TOS with a "vascular component". I had a palpable thrill/audible turbulence on physical examination in the supraclavicular area at the base of the SCM. What blood vessels were impinged in the MRI/MRA when my arms were up? Were the blood vessels impinged by the first rib and some other bone? In my TOS workup, I saw 4 TOS surgeons/experts in various parts of the country and they all advised me to have the rib resection because my impingement was so severe. (So I did~ but only on the R side) I also had multi-crush nerve impingement, and I think my radial tunnel has had a lot of symptoms and may be responsible for many of my most annoying symptoms. Have you heard of patients who have CRPS from TOS? Thank you! |
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11-19-2012, 01:19 PM | #8 | ||
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01-29-2020, 08:58 AM | #9 | ||
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I had this test preformed on me last week suggested from at least 4 twitter Interventional radiologists (yes I seem to have minimal support with my treating MD ) venogram ( done by a catheter in the affected arm vein and contrast dye injected under x-ray ) this is the gold standard for VTOS dx. ***Results ***they say the test was fine. Do you recommend the MRAMRVMRI?? I have all the warnings but I have intermittent swelling arm activity, as well as intermittent cessation of flow on artery and (veins arm up) You can view my photos on ** Thank you
Last edited by Chemar; 01-29-2020 at 11:38 AM. Reason: ** No website redirects for new members per guidelines |
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