The role of congenital malformations of the thoracic outlet in the development of the syndrome.

Autor: Artico, M., Santarelli, M. T., Stevanato, G., Cirocchi, R., D'Andrea, V., Nicolai, A., Cialone, G., Monteleone, G., Pindinell, I., Taurone, S.
Zdroj: Folia Morphologica; 2022, Vol. 81 Issue 1, p117-123, 7p
Abstrakt: Background: Thoracic outlet syndrome (TOS) represents a clinical condition caused by compression of the neurovascular structures that cross the thoracic outlet. TOS can be classified in: 1) neurogenic TOS (NTOS), 2) venous TOS (VTOS), 3) arterial TOS (ATOS). Many different causes can determine the syndrome: congenital malformations, traumas, and functional impairments. Materials and methods: This manuscript reviews how the congenital malformations play an important role in adult age; however, TOS also affects patients of all ages. Results: Radiological imaging like X-ray (radiography), magnetic resonance and computed tomography can provide useful information to assess TOS causes and decide a potential surgery. 79% of the patients included in the first two stages of nerve, artery, vein (NAV) staging experienced excellent results with kinesiotherapy; whereas patients included in the third and fourth stage of NAV staging were subject to surgery. Conclusions: The treatment of acute forms of TOS involves thrombolysis and anticoagulant therapy; surgery is appropriate for true NTOS, vascular TOS and in some cases when conservative treatment fails. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index