Ultrasonographic Identification of Fibromuscular Bands Associated with Neurogenic Thoracic Outlet Syndrome: The "Wedge-Sickle" Sign.
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Tartalom: http://real.mtak.hu/42563/
Archívum: MTA Könyvtár
Gyűjtemény: Status = Published


Type = Article
Cím:
Ultrasonographic Identification of Fibromuscular Bands Associated with Neurogenic Thoracic Outlet Syndrome: The "Wedge-Sickle" Sign.
Létrehozó:
Arányi, Zsuzsanna
Csillik, Anita
Böhm, Josef
Schelle, Thomas
Kiadó:
ELSEVIER
Dátum:
2016
Téma:
R1 Medicine (General) / orvostudomány általában
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry / idegkórtan, neurológia, pszichiátria
Tartalmi leírás:
Thoracic outlet syndrome (TOS) is a disorder characterized by compression of the lower trunk of the brachial plexus, most often in association with anomalous congenital fibromuscular bands in the scalenic region. Early diagnosis is important, because the neurologic deficit associated with TOS may be irreversible. Using high-resolution ultrasound, we investigated 20 consecutive patients with clinical signs suggestive of TOS (all females, average age: 40.4 +/- 14.9 y) and 25 control patients. In 19 patients, we identified a hyper-echoic fibromuscular structure at the medial edge of the middle scalene muscle, which indented the lower trunk of the brachial plexus ("wedge-sickle sign"). It was associated with the significant enlargement (p < 0.0001) and hypo-echogenicity of the lower trunk. This novel and distinctive ultrasonographic sign allows pre-surgical identification of anomalous fibromuscular bands causing TOS. It is especially useful in patients without neurologic deficit, in whom the diagnosis may not be as straightforward.
Nyelv:
angol
magyar
Típus:
Article
PeerReviewed
info:eu-repo/semantics/article
Formátum:
text
text
Azonosító:
Arányi, Zsuzsanna and Csillik, Anita and Böhm, Josef and Schelle, Thomas (2016) Ultrasonographic Identification of Fibromuscular Bands Associated with Neurogenic Thoracic Outlet Syndrome: The "Wedge-Sickle" Sign. ULTRASOUND IN MEDICINE AND BIOLOGY, 42 (10). pp. 2357-2366. ISSN 0301-5629
Kapcsolat:
MTMT:3095688; doi:10.1016/j.ultrasmedbio.2016.06.005