Chahwala Veer, Tashiro Jun, Li Xiaoyi, Baqai Atif, Rey Jorge, Robinson Handel R
Division of Vascular and Endovascular Surgery, DeWitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL.
Division of Vascular and Endovascular Surgery, DeWitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL.
Ann Vasc Surg. 2017 Feb;39:285.e5-285.e8. doi: 10.1016/j.avsg.2016.05.109. Epub 2016 Aug 13.
Thoracic outlet syndrome (TOS) refers to the compression of the neurovascular bundle within the thoracic outlet. Cases are classified by primary etiology-arterial, neurogenic, or venous. In addition to the typical symptoms of arm swelling and paresthesias, headaches have been reported as a potential symptom of TOS. In this report, we describe a patient with debilitating migraines, which were consistently preceded by unilateral arm swelling. Resolution of symptoms occurred only after thoracic outlet decompression. Patients with migraines and concomitant swelling and/or paresthesias, especially related to provocative arm maneuvers, should be considered a possible atypical presentation of TOS and evaluated in more detail.
胸廓出口综合征（TOS）是指胸廓出口处神经血管束受到压迫。病例按主要病因分类——动脉型、神经型或静脉型。除了手臂肿胀和感觉异常的典型症状外，头痛也被报道为TOS的一种潜在症状。在本报告中，我们描述了一名患有使人衰弱的偏头痛患者，其偏头痛之前总是伴有单侧手臂肿胀。症状仅在胸廓出口减压后才得以缓解。偏头痛伴有肿胀和/或感觉异常，尤其是与诱发手臂动作相关的患者，应被视为TOS的一种可能的非典型表现，并进行更详细的评估。
