The first case of scalenus syndrome verified by multispiral CT angiography

Abstract

In the case presented, we performed for the first time verification of compression of the subclavian artery by the scalenus anterior muscle, in scalenus syndrome, with the use of multispiral computerized tomography in the angiography regimen. Detailed description of the disease clinical picture is given, and indications and main steps of the operation (scalenotomy) are presented. A clear positive effect of the performed surgical treatment is demonstrated, as confirmed clinically (disappearance of symptoms of right hand ischemia, right brachial plexus compression and vertebral artery syndrome) and by data of functional investigations (ultrasound dopplerography and brainstem auditory evoked potentials).

About the authors

V. L. Shchipakin

Research Center of Neurology

Author for correspondence.
Email: platonova@neurology.ru
Russian Federation

A. Yu. Koshcheev

Research Center of Neurology

Email: platonova@neurology.ru
Russian Federation

L. P. Metyolkina

Research Center of Neurology

Email: platonova@neurology.ru
Russian Federation

M. V. Krotenkova

Research Center of Neurology

Email: platonova@neurology.ru
Russian Federation

A. V. Levshakova

Research Center of Neurology

Email: platonova@neurology.ru
Russian Federation

I. S. Davydenko

Research Center of Neurology

Email: platonova@neurology.ru
Russian Federation

A. O. Chechyotkin

Research Center of Neurology

Email: platonova@neurology.ru
Russian Federation

P. A. Fedin

Research Center of Neurology

Email: platonova@neurology.ru
Russian Federation

N. V. Dobzhansky

Research Center of Neurology

Email: platonova@neurology.ru
Russian Federation

References

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  2. Зиновьева Г.А., Бабанина Л.П. Вертеброгенная патология шейного отдела и синдром позвоночной артерии. Вестник Волгоградского государственного медицинского университета 2006; 1: 9—13.
  3. Покровский А.В. Клиническая ангиология. М.: Медицина, 2004.
  4. Haimovici H., Callow A.D., DePalma R.G. et al. Vascular surgery. USA 1989: 208—236.
  5. Powers S.R., Drislane T.M., Nevins S. Intermittent vertebral artery compression. A new syndrome. Surgery 1961; 49: 257—264.

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Copyright (c) 2007 Shchipakin V.L., Koshcheev A.Y., Metyolkina L.P., Krotenkova M.V., Levshakova A.V., Davydenko I.S., Chechyotkin A.O., Fedin P.A., Dobzhansky N.V.

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