| Title | [Unilateral Raynaud's phenomenon with intensification when the arms are elevated] | | Author(s) | Henes J, Oberländer Y, Tepe G, Schneider W, Balletshofer B | | Institution | Medizinische Universitätsklinik Tübingen, Abteilung für Onkologie, Hämatologie, Rheumatologie, Immunologie, Pulmonologie, Tübingen, Germany. | | Source | Dtsch Med Wochenschr 2009.:F3. | | MeSH | Adult
Aneurysm
Anticoagulants
Aspirin
Cervical Rib Syndrome
Diagnosis, Differential
Enoxaparin
Female
Fibrinolytic Agents
Humans
Infusions, Intra-Arterial
Platelet Aggregation Inhibitors
Raynaud Disease
Ribs
Subclavian Artery
Thromboembolism
Urokinase-Type Plasminogen Activator
| | Abstract | Thoracic outlet syndrome (TOS) is a broad term for compression of the neurovascular structures in the area of the 1. rib and the clavicle. The cause can be either fibrous bands, cervical ribs, anomalous muscles or posttraumatic changes as well as tumors. Symptoms depend on the affected structure, in most cases (up to 97% of TOS patients) neurologic symptoms are present. In case of an arterial compression, for example due to a cervical rib like in our case, embolism of the arm and finger arteries can occur. For mild or moderate symptoms a conservative approach with physiotherapy can be helpful. For severe cases surgical resection of the compressing structure and the first rib is necessary. In our case, the cervical and first rib were excised after an initial lysis therapy. Furthermore, the aneurysm of the subclavian artery was excised. | | Language | ger | | Pub Type(s) | Case Reports
English Abstract
Journal Article
| | PubMed ID | 19319790 |
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