Document Detail


Diagnosis of thoracic outlet syndrome. Relative value of electrophysiological studies.
MedLine Citation:
PMID:  7847058     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The diagnostic utility of various electrophysiological techniques was evaluated in patients with thoracic outlet compression syndrome (TOCS). Our results suggest that in true neurogenic TOCS, there is no standard electrophysiological picture, but that this evolves with the severity of the syndrome. The first changes observed are electromyographic, followed by changes in F-wave and SEPs, followed finally by changes in nerve conduction parameters. EMG study was certainly more informative, showing neurogenic damage not only in limbs with neurological signs but also in about 1/4 of limbs with only subjective symptoms. The study of F-wave and SEPs does not seem to be particularly helpful, however, in view of the peculiar changes found in these patients, SEPs may be a useful complement to EMG. Nerve conduction studies were of little utility since changes in these parameters are only found in patients with long-standing anomalies and severe atrophy.
Authors:
S Passero; C Paradiso; F Giannini; R Cioni; L Burgalassi; N Battistini
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta neurologica Scandinavica     Volume:  90     ISSN:  0001-6314     ISO Abbreviation:  Acta Neurol. Scand.     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-03-06     Completed Date:  1995-03-06     Revised Date:  2006-08-16    
Medline Journal Info:
Nlm Unique ID:  0370336     Medline TA:  Acta Neurol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  179-85     Citation Subset:  IM    
Affiliation:
Institute for Nervous and Mental Diseases, University of Siena, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebral Cortex / physiopathology
Electric Stimulation
Electromyography
Evoked Potentials, Somatosensory / physiology
Female
Humans
Male
Middle Aged
Motor Neurons / physiology
Neurologic Examination
Peripheral Nerves / physiopathology
Prospective Studies
Synaptic Transmission / physiology*
Thoracic Outlet Syndrome / diagnosis*,  physiopathology
Comments/Corrections
Comment In:
Acta Neurol Scand. 1995 Oct;92(4):349-50   [PMID:  8848944 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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