Neurogenic Thoracic Outlet Syndrome

 

If you see patients with pain from the neck/shoulder, radiating down the arm and into the fingers, they may have neurogenic thoracic outlet syndrome (NTOS). Occipital headaches, arm weakness, and chest wall pain often coexist. NTOS targets women and can occur after motor vehicle accidents. It is a complex spectrum disorder that provokes controversy. In fact, it may be the most controversial diagnosis in medicine. Yet, the evidence demonstrates that if left untreated, quality of life is impaired as much as if having chronic heart failure. In this course we will talk about common symptoms, etiology, diagnosis, and current treatment options including therapy with onabotulinumtoxinA and other neurotoxins.

Learning Objectives

  • Identify the three forms of thoracic outlet syndrome and which one is the most common
  • Recognize the histologic findings that demonstrate the anterior or middle scalene muscles that may be a causative factor for NTOS
  • Describe the value of chemodenervation of the anterior scalene muscle with botulinum toxin

Additional Information

AttachmentSize
PDF icon Slides and Disclosures3.92 MB
Course summary
Available credit: 
  • 1.00 AAFP
  • 1.00 AANP
  • 1.00 ACCME (All Other)
  • 1.00 ACCME (MD/DO Only)
  • 1.00 ACPE Pharmacy
  • 1.00 ANCC
  • 1.00 APA
Course opens: 
06/01/2021
Course expires: 
06/01/2022
Rating: 
0

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Paul J. Christo, MD, MBA

Associate Professor
Johns Hopkins University School of Medicine
Baltimore, Maryland

Available Credit

  • 1.00 AAFP
  • 1.00 AANP
  • 1.00 ACCME (All Other)
  • 1.00 ACCME (MD/DO Only)
  • 1.00 ACPE Pharmacy
  • 1.00 ANCC
  • 1.00 APA
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