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Bilateral thoracic outlet syndrome: An uncommon presentation of a rare condition in children.
[thoracic outlet syndrome]
We
report
an
adolescent
girl
who
had
left-sided
neurogenic
thoracic
outlet
syndrome
(
TOS
)
due
to
impingement
of
the
scalenus
anterior
muscle
with
bilateral
changes
on
nerve
conduction
studies
and
responded
well
to
surgical
decompression
.
A
13
-
year
-old
Caucasian
girl
presented
with
intermittent
pain
,
swelling
,
erythema
,
tingling
and
numbness
of
the
palmar
aspect
of
her
left
hand
.
Nerve
conduction
studies
revealed
bilateral
ulnar
sensory
and
motor
conduction
abnormalities
,
suggesting
early
compressive
neuropathy
in
the
asymptomatic
arm
as
well
.
She
underwent
surgical
exploration
when
it
was
noted
that
the
scalenus
anterior
itself
was
impinging
on
the
brachial
plexus
.
She
had
a
good
clinical
response
to
scalenectomy
.
The
diagnosis
of
neurogenic
TOS
remains
difficult
as
no
single
test
has
been
accepted
as
a
gold
standard
.
But
,
once
diagnosed
using
clinical
symptoms
,
nerve
conduction
studies
,
electromyography
and
radiological
investigations
,
it
is
a
treatable
condition
with
good
prognosis
.
Diseases
Validation
Diseases presenting
"erythema"
symptom
acute rheumatic fever
cowden syndrome
cutaneous mastocytosis
epidermolysis bullosa simplex
erythropoietic protoporphyria
familial mediterranean fever
harlequin ichthyosis
inclusion body myositis
kindler syndrome
lamellar ichthyosis
legionellosis
liposarcoma
malignant atrophic papulosis
neuralgic amyotrophy
omenn syndrome
pyomyositis
thoracic outlet syndrome
This symptom has already been validated