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KMID : 0361420110350040565
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 4 p.565 ~ p.569
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True Neurogenic Th oracic Outlet Syndrome Following Hyperabduction during Sleep - A Case Report -
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Lee Ji-Hoon
Choi Hyun-Soo
Kim Dong-Hwee
Cho Won-Min
Shin Jae-Seung
Lee Seung-Hwa
Chung Hwan-Hoon
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Abstract
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True neurogenic thoracic outlet syndrome (TOS) is an uncommon disease and is diffi cult to diagnose at the early stage and then completely cure. We experienced a case of true neurogenic TOS with typical clinical symptoms and electrophysiologic findings as a result of repetitive habitual sleep posture. A 31-year-old woman who had complained of progressive tingling sensation on the 4th and 5th fingers with shoulder pain was diagnosed of brachial plexopathy at the lower trunk level by electrodiagnostic studies. There was no other cause of brachial plexopathy except her habit of hyperabduction of shoulder during sleep. Th is case demonstrated that the habitual abnormal posture can be the only major cause of neurogenic TOS. It is of importance to consider TOS with the habitual cause because simple correction of the posture could stabilize or even reverse disease progress
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KEYWORD
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Thoracic outlet syndrome, Neurogenic, Hyperabduction sleep
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