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Thoracic outlet syndromes: a plea for conservatism.
1Department of Neurology, Cleveland Clinic Foundation, Ohio.
Neurosurgery Clinics of North America
|January 1, 1991
Summary
This article examines the controversial sensory subtype of Thoracic Outlet Syndrome (TOS), noting its variable presentation and lack of a characteristic profile. Neurosurgeons considering TOS surgery should critically review literature and proceed with caution.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Thoracic Outlet Syndrome (TOS) encompasses several subtypes.
- A controversial subtype primarily involves sensory symptoms with normal objective findings.
Purpose of the Study:
- To discuss the challenges in defining and diagnosing the sensory subtype of TOS.
- To provide guidance for neurosurgeons considering TOS surgery.
Main Methods:
- Literature review on the controversial sensory subtype of TOS.
- Analysis of diagnostic criteria and typical presentations.
Main Results:
- The sensory subtype of TOS lacks a characteristic profile due to high variability.
- Current diagnostic criteria and typical presentations are not universally accepted.
Conclusions:
- The controversial sensory subtype of TOS remains poorly defined.
- Neurosurgeons should critically evaluate the literature and exercise conservatism when considering surgical intervention for TOS.