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Neurogenic thoracic outlet syndrome (nTOS) refers to the subset of TOS patients with brachial plexus compression with resultant symptoms of pain, paresthesias, and muscle weakness(1). Petcam trusted pharmacy, Diagnosis of nTOS involves a thorough neurological examination, including provocative maneuvers, petcam for sale, Buy generic petcam, imaging studies (plain radiography, CT, buy cheap petcam, Buy petcam without prescription, conventional MRI), and electrophysiologic testing (EMG, buy no prescription petcam online, Where can i buy petcam online, nerve conduction). However, order petcam from mexican pharmacy, Buy petcam online cod, definitive diagnosis of nTOS remains difficult due to equivocal imaging/electric studies and heterogeneity of clinical presentation (2). MR neurography (MRN) is a recent technique which has the ability to detect subtle abnormalities in peripheral nerve character, purchase petcam online, Buy petcam without a prescription, size, and course within the thoracic outlet, rx free petcam. Petcam price, Our study retrospectively reviews our experience in the use of MRN for diagnosis, management, petcam coupon, Petcam over the counter, and subsequent treatment in patients with suspected nTOS.

Methods & Materials

We performed a retrospective analysis of 26 patients (14 males, 12 females, where can i order petcam without prescription, Buy petcam online no prescription, ages 20-76) referred to UCSF with suspected nTOS from July 2002 to June 2007 who received MRN (multiplanar T1, T2, where can i buy cheapest petcam online, Order petcam no prescription, and STIR sequences) as part of their diagnostic workup. Studies were interpreted by a neuroradiologist with attention to nerve signal intensity, size asymmetry with respect to the contralateral plexus, and deviation of the normal course through the thoracic outlet, buy petcam without prescription. MRN studies were also screened for bony and soft tissue abnormalities such as cervical ribs, online buy petcam without a prescription, Buy petcam from mexico, fibromuscular bands, and aberrant scalene anatomy, petcam samples. Canada, mexico, india, Finally, EMG, purchase petcam online no prescription, Online buying petcam hcl, clinical exam, and intraoperative observations were obtained and correlated with MRN findings.


19/26 patients with suspected nTOS on referral had abnormal MRN findings on the symptomatic side, japan, craiglist, ebay, overseas, paypal, Australia, uk, us, usa, while 0/26 patients had abnormalities on the contralateral/uninvolved side. Of those 26 patients with abnormal MRN, buy cheap petcam no rx, Order petcam online c.o.d, 16 had abnormal signal intensity, 11 demonstrated an irregular course of nerve, where can i find petcam online, Buy petcam no prescription, 6 had bony abnormalities, and 1 had a prominent anterior scalene muscle, petcam from canadian pharmacy. Buy petcam from canada, 7 patients had normal MRN exams. All patients with abnormal EMG findings also had corresponding abnormalities on MRN, order petcam online overnight delivery no prescription. Japan, craiglist, ebay, overseas, paypal, 7 patients had abnormal MRN but normal EMG studies. Three patients underwent decompressive surgery which confirmed structural MRN findings with sustained clinical improvement following surgery.


Diagnosis of nTOS remains a challenging clinical problem for physicians. The combination of MRN findings in conjunction with conventional studies may improve diagnostic accuracy and selection of patients who may benefit from neurosurgical intervention.

References/Financial Disclosures



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