Overlapped multiple distal entrapment neuropathies hindering diagnosis of thoracic outlet syndrome: A case report

Seok, Ji Hye; Lee, Jun Ho; Sim, Kwang Seok; Ban, Jong Seok; Lee, Ji Hyang; Kim, Eun Ju

Case Report

Neuromuscular Physiology and Pharmacology

Anesthesia and Pain Medicine 2012;7(4):348-351.
Published online October 31, 2012.

Overlapped multiple distal entrapment neuropathies hindering diagnosis of thoracic outlet syndrome: A case report

Ji Hye Seok, Jun Ho Lee, Kwang Seok Sim, Jong Seok Ban, Ji Hyang Lee, Eun Ju Kim

Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea. allforone97@naver.com

Abstract

Thoracic outlet syndrome is caused by the compression of neurovascular structures at the thoracic outlet region. Diagnosis is difficult since thoracic outlet syndrome is often accompanied by distal entrapment neuropathies such as carpal tunnel syndrome or ulnar and radial neuropathies. In this article, the authors report a case regarding a patient with thoracic outlet syndrome whose diagnosis was delayed due to the overlapping of multiple distal entrapment neuropathies.

Key Words: Anterior scalene block, Distal entrapment neuropathy, Double crush syndrome, Thoracic outlet syndrome