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MRI findings in thoracic outlet syndrome

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dc.contributor.authorAralasmak, AYŞE
dc.contributor.authorÇEVİKOL, CAN
dc.contributor.authorKARAALİ, KAMİL
dc.contributor.authorSenol, Utku
dc.contributor.authorSharifov, RASUL
dc.contributor.authorKILICARSLAN, Rukiye
dc.contributor.authorAlkan, ALPAY
dc.contributor.institutionauthorARALAŞMAK, AYŞE
dc.contributor.institutionauthorSHARIFOV, RASUL
dc.contributor.institutionauthorALKAN, ALPAY
dc.date.accessioned2019-10-05T15:15:04Z
dc.date.available2019-10-05T15:15:04Z
dc.date.issued2012-11-01
dc.description.abstractWe discuss MRI findings in patients with thoracic outlet syndrome (TOS). A total of 100 neurovascular bundles were evaluated in the interscalene triangle (IS), costoclavicular (CC), and retropectoralis minor (RPM) spaces. To exclude neurogenic abnormality, MRIs of the cervical spine and brachial plexus (BPL) were obtained in neutral. To exclude compression on neurovascular bundles, sagittal T1W images were obtained vertical to the longitudinal axis of BPL from spinal cord to the medial part of the humerus, in abduction and neutral. To exclude vascular TOS, MR angiography (MRA) and venography (MRV) of the subclavian artery (SA) and vein (SV) in abduction were obtained. If there is compression on the vessels, MRA and MRV of the subclavian vessels were repeated in neutral. Seventy-one neurovascular bundles were found to be abnormal: 16 arterial-venous-neurogenic, 20 neurogenic, 1 arterial, 15 venous, 8 arterial-venous, 3 arterial-neurogenic, and 8 venous-neurogenic TOS. Overall, neurogenic TOS was noted in 69%, venous TOS in 66%, and arterial TOS in 39%. The neurovascular bundle was most commonly compressed in the CC, mostly secondary to position, and very rarely compressed in the RPM. The cause of TOS was congenital bone variations in 36%, congenital fibromuscular anomalies in 11%, and position in 53%. In 5%, there was unilateral brachial plexitis in addition to compression of the neurovascular bundle. Severe cervical spondylosis was noted in 14%, contributing to TOS symptoms. For evaluation of patients with TOS, visualization of the brachial plexus and cervical spine and dynamic evaluation of neurovascular bundles in the cervicothoracobrachial region are mandatory.
dc.identifier
dc.identifier.citationAralasmak A., ÇEVİKOL C., KARAALİ K., Senol U., Sharifov R., KILICARSLAN R., Alkan A., -MRI findings in thoracic outlet syndrome-, SKELETAL RADIOLOGY, cilt.41, ss.1365-1374, 2012
dc.identifier.doi10.1007/s00256-012-1485-3
dc.identifier.pubmed22782291
dc.identifier.scopus84866740410
dc.identifier.urihttps://hdl.handle.net/20.500.12645/5804
dc.identifier.wosWOS:000308952600004
dc.language.isoen
dc.titleMRI findings in thoracic outlet syndrome
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameProceedings in Obstetrics and Gynecology
local.avesis.id8f813f23-23f5-4e05-b770-e6ab2a88a2fc
local.avesis.response5674
local.publication.isinternational1
relation.isAuthorOfPublication916dd84c-0db6-43c4-8168-c6c875f27bbe
relation.isAuthorOfPublication71425ec0-33fc-4155-b5f5-2c9a0856e595
relation.isAuthorOfPublicationea0f4848-264f-435e-8d73-0f1ca4814d4a
relation.isAuthorOfPublication.latestForDiscovery916dd84c-0db6-43c4-8168-c6c875f27bbe
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