Damla YÜRÜK, Güngör Enver ÖZGENCİL, Ahmet YILMAZ, Merve Hayriye KOCAOĞLU, Sırrı Sinan BİLGİN, İbrahim AŞIK

Uzun süre servikal diskopati tanısı ile izlenen skalen kas hipertrofisinin neden olduğu torasik outlet sendromu

Bu yazıda, skalen kas hipertrofisi sonucu mikst tip torasik outlet sendromu gelişen olgunun tanı ve tedavi sürecini sunduk. Ayırıcı tanıda pek çok hastalığın düşünülmesi gereken zengin semptomlara sahip bu sendromunun kesin tanısının konulabilmesi için günlük yaşam aktivitelerinin sorgulanması, fizik muayene bulgularına ek olarak provokatif testlerin, elektrofizyolojik incelemelerin ve görüntüleme yöntemlerinin yapılması gerekmektedir. Tanı konulduktan sonra konservatif tedaviye rağmen şikayetleri azalmayan hastalarda cerrahi tedavi gerekmektedir. Ancak geç tanı konulmuş hastalarda cerrahi tedavi sonrası şikayetlerin azalmasına rağmen öncesindeki nörolojik sekeller devam etmektedir.

Thoracic outlet syndrome: A case of scalene muscle hypertrophy in long-term follow-up of diagnosis of cervical discopathy

Described in this article is diagnosis and treatment of mixed type of thoracic outlet syndrome (TOS) resulting from scalene muscle hypertrophy. Many diseases should be considered in the differential diagnosis to definitively diagnose this syndrome, and it is necessary to ask about activities of daily life, in addition to adding provocative tests to physical examination and examining electrophysiological and imaging results. Once diagnosed, even if complaints decrease with conservative treatment, surgery may be required. However, in patients diagnosed late, despite decrease in complaints after surgery, neurological deficit may remain.

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