anyone know the difference btwn upper and lower bracial plexus forms of TOS?

I wish I could help you Fern, but I have no idea. The knowledgable folks will be along shortly and can help you out. Take care

Rachael

yes- upper is different nerves according to dr brantigan. (c5 and c6 maybe?)
lower is c7/c8 i think. Upper plexus symptopms are the headaches, tingly half of face, tingly ear and some others. Lower plexus symptoms are the hand stuff.

dr brantigan thinks upper responds to complete scalenectomy better....lower=rib resection needed.
I posted a Brantigan and roos peper somewhere on this, i think...you might be able to find it if you search my posts.

dr ahn told me he could not find a difference in surgical success doing complete scalenectomy for upper plexus symptoms...and rib resection is useful for relieving many many kinds of entrapment. My upper plexus symptoms were the first to go when I had rib resection surgery on the left side.

sorry quick answer...hand hurting. got to get off this dumb computer./

thanks Johanna. i did a quick search and found the paper. it describes lower vs upper and a variety of TOS problems and diagnostic studies.

here is the link i used.
http://intraspec.ca/PIIS0749071203000805.pdf


The summary is interesting to note -- see below:


"Summary

Diagnosing and treating thoracic outlet syndrome
can be challenging and frustrating. It must
be emphasized that the diagnosis of TOS is
a clinical one based on a detailed history and
physical examination. This takes time and effort
and is often confounded by the patient’s research
on the internet and emotional problems usually
resulting from the symptoms and lack of appropriate
treatment. Years of inappropriate diagnosis
and ineffective therapy take a heavy toll on these
patients. Some have psychologic problems to the
point that no treatment, no matter how well
indicated, will make them well. Some have had
symptoms so long that there is permanent neurologic
damage. Each patient presents his or her
own diagnostic challenge. Solving the problem and
providing effective therapy can be rewarding for
doctor and patient."