How is venous thoracic outlet syndrome diagnosed?

How is venous thoracic outlet syndrome diagnosed?

How is thoracic outlet syndrome diagnosed?

1. Nerve conduction studies (to evaluate the function of the motor and sensory nerves)
2. Vascular studies (of the arteries or veins)
3. Chest X-ray to rule out cervical rib abnormalities.
4. Cervical spine X-rays to rule out a cervical rib (extra rib) or cervical (neck) spine abnormalities.

Can a neurologist diagnose thoracic outlet syndrome?

Your doctor may recommend a thorough evaluation by a skilled neurologist to rule out cervical spine disease and other neurological conditions with similar symptoms. Additional tests that help diagnose thoracic outlet syndrome include: nerve conduction studies to evaluate the function of the motor and sensory nerves.

Can EMG diagnose thoracic outlet syndrome?

Electromyography may be helpful in confirming the presence or absence of a specific alternative diagnosis. A study reported that intravascular ultrasound detected greater levels of stenosis than venography in the treatment of 14 venous thoracic outlet syndrome patients.

What does a positive Adson test mean?

The test is positive if there is a marked decrease, or disappearance, of the radial pulse. It is important to check the patient’s radial pulse on the other arm to recognize the patient’s normal pulse. A positive test should be compared with the non-symptomatic side.

How do you test Adson?

52 second clip suggested1:52Adson Test | Thoracic Outlet Syndrome – YouTubeYouTube

How do you perform Adson’s test?

42 second clip suggested1:52Adson Test | Thoracic Outlet Syndrome – YouTubeYouTube

Can you have all 3 types of thoracic outlet syndrome?

Arterial thoracic outlet syndrome. It’s possible to have a mix of the three different types of thoracic outlet syndrome, with multiple parts of the thoracic outlet being compressed. Thoracic outlet syndrome symptoms can vary depending on the type.

What does a positive Adson’s test mean?

What is thoracic outlet syndrome (TOS)?

Thoracic outlet syndrome (TOS) is a group of disorders all having in common compression at the thoracic outlet. Three structures are at risk: the brachial plexus, the subclavian vein, and the subclavian artery, producing neurogenic (NTOS), venous (VTOS), and arterial (ATOS) thoracic outlet syndromes …

How is thoracic outlet syndrome diagnosed?

In order to diagnose accurately, the clinical presentation must be evaluated as either neurogenic (compression of the brachial plexus) or vascular (compression of the subclavian vessels). TOS manifestations are varied and there is no single definitive test, which makes it difficult to diagnose.

What structures are at risk of compression at the thoracic outlet?

Three structures are at risk: the brachial plexus, the subclavian vein, and the subclavian artery, producing neurogenic (NTOS), venous (VTOS), and arterial (ATOS) thoracic outlet syndromes … Thoracic outlet syndrome (TOS) is a group of disorders all having in common compression at the thoracic outlet.

Who is Dr Kaj Johansen?

Dr. Kaj Johansen is a vascular surgeon in Seattle, Washington and is affiliated with multiple hospitals in the area, including Swedish Edmonds Hospital and Swedish Medical Center-Cherry Hill. He received his medical degree from University of Washington School of Medicine and has been in practice for more than 20 years.