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Neurosurgery: Thoracic outlet syndrome by Dr. Bosnjak

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Uploaded on Nov 11, 2008

Dr. Roman BOSNJAK, Neurosurgery, UMC Ljubljana, Slovenia. roman.bosnjak@gmail.com Thoracic outlet syndrome (neurogenic TOS)is pain in the shoulder, arm, medial forearm and ulnar part of the hand, the 5th anfd 4th fingers. This position dependent and extravertebral brachialgia is a compression of the inferior trunk of the brachial plexus by rudimental cervical rib and fibrous band (from the rib to the 1st rib). The pain is accompanied by hyposensitivity on the medial forearm, hand an 4-5th fingers, sometimes atrophy of small hadn muscles is obvious. Sometimes vascular symptoms (hand paleness or hand bluish) may appear from subclavian artery or vein compression (vascular TOS). This video shows operative procedure that decompresses brachial plexus.

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