The first case of scalenus syndrome verified by multispiral CT angiography
- Authors: Shchipakin V.L.1, Koshcheev A.Y.1, Metyolkina L.P.1, Krotenkova M.V.1, Levshakova A.V.1, Davydenko I.S.1, Chechetkin A.O.1, Fedin P.A.1, Dobzhansky N.V.1
-
Affiliations:
- Research Center of Neurology
- Issue: Vol 1, No 1 (2007)
- Pages: 50-55
- Section: Clinical analysis
- Submitted: 07.02.2017
- Published: 14.03.2007
- URL: https://annaly-nevrologii.com/journal/pathID/article/view/442
- DOI: https://doi.org/10.17816/psaic442
- ID: 442
Cite item
Full Text
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
Vladimir L. Shchipakin
Research Center of Neurology
Email: krotenkova_mrt@mail.ru
ORCID iD: 0000-0003-1428-2769
Cand. Sci. (Med.), Head, Group of vascular and endovascular surgery, senior researcher, Institute of Clinical and Preventive Neurology
Россия, MoscowAleksandr Yu. Koshcheev
Research Center of Neurology
Email: krotenkova_mrt@mail.ru
ORCID iD: 0000-0003-0160-7499
Cand. Sci. (Med.), cardiovascular surgeon, Group of vascular and endovascular surgery
Россия, 125367 Moscow, Volokolamskoye shosse, 80L. P. Metyolkina
Research Center of Neurology
Email: krotenkova_mrt@mail.ru
Россия, Москва
Marina V. Krotenkova
Research Center of Neurology
Author for correspondence.
Email: krotenkova_mrt@mail.ru
ORCID iD: 0000-0003-3820-4554
D. Sci. (Med.), Head, Department of radiation diagnostics, Institute of Clinical and Preventive Neurology
Россия, MoscowA. V. Levshakova
Research Center of Neurology
Email: krotenkova_mrt@mail.ru
Россия, Moscow
I. S. Davydenko
Research Center of Neurology
Email: krotenkova_mrt@mail.ru
Россия, Moscow
Andrey O. Chechetkin
Research Center of Neurology
Email: krotenkova_mrt@mail.ru
ORCID iD: 0000-0002-8726-8928
D. Sci. (Med.), Head, Ultrasound diagnostic laboratory
Россия, MoscowPavel A. Fedin
Research Center of Neurology
Email: krotenkova_mrt@mail.ru
Россия, Moscow
N. V. Dobzhansky
Research Center of Neurology
Email: krotenkova_mrt@mail.ru
Россия, Moscow
References
- Верещагин Н.В. Патология вертебрально-базилярной системы и нарушения мозгового кровообращения. М.: Медицина, 1980.
- Зиновьева Г.А., Бабанина Л.П. Вертеброгенная патология шейного отдела и синдром позвоночной артерии. Вестник Волгоградского государственного медицинского университета 2006; 1: 9—13.
- Покровский А.В. Клиническая ангиология. М.: Медицина, 2004.
- Haimovici H., Callow A.D., DePalma R.G. et al. Vascular surgery. USA 1989: 208—236.
- Powers S.R., Drislane T.M., Nevins S. Intermittent vertebral artery compression. A new syndrome. Surgery 1961; 49: 257—264.