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Case Reports
. 2018 Jan-Mar;21(1):71-73.
doi: 10.4103/aca.ACA_119_17.

Concomitant neurogenic and vascular thoracic outlet syndrome due to multiple exostoses

Hosseinali Abdolrazaghi  1 , Azade Riyahi  2 , Morteza Taghavi  3 , Pezhman Farshidmehr  3 , Abolfazl Mohammadbeigi  4
Affiliations
Case Reports

Concomitant neurogenic and vascular thoracic outlet syndrome due to multiple exostoses

Hosseinali Abdolrazaghi et al. Ann Card Anaesth. 2018 Jan-Mar.

Abstract

We report a rare case of multiple hereditary exostosis where patient presented with bilateral base of neck exostoses with concurrent compression of brachial plexus and subclavian artery and vein. The patient was a young 26-year-old woman with chief complaints of pain in the left upper extremity, paresthesia in the left ring and little finger, and weakness in hand movement and grip. On referral, history, physical examination, radiological imaging, and electrodiagnostic tests evaluated the patient. Due to severe pain and disability in performing routine activities, surgical intervention was necessary. In the current case, the patient had thoracic outlet syndrome with concomitant venous, arterial, and neurogenic sub types. Radial pulse returned and pain associated with brachial plexus compression was resolved after the surgery.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Anterior aspect of patient showing prominent venous collaterals around upper chest
Figure 2
Figure 2
Postoperative X-ray imaging of two large exostoses at the base of neck in thoracic outlet (a) and exostosis mass after excision (b)
Figure 3
Figure 3
Shoulder abduction (a), Elbow flexion and finger motion (b) after successful surgery
See this image and copyright information in PMC

References

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