The first case of scalenus syndrome verified by multispiral CT angiography

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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

Russian Federation, Moscow

Aleksandr 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

Russian Federation, 125367 Moscow, Volokolamskoye shosse, 80

L. P. Metyolkina

Research Center of Neurology

Email: krotenkova_mrt@mail.ru
Russian Federation, 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

Russian Federation, Moscow

A. V. Levshakova

Research Center of Neurology

Email: krotenkova_mrt@mail.ru
Russian Federation, Moscow

I. S. Davydenko

Research Center of Neurology

Email: krotenkova_mrt@mail.ru
Russian Federation, 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

Russian Federation, Moscow

Pavel A. Fedin

Research Center of Neurology

Email: krotenkova_mrt@mail.ru
Russian Federation, Moscow

N. V. Dobzhansky

Research Center of Neurology

Email: krotenkova_mrt@mail.ru
Russian Federation, Moscow

References

  1. Верещагин Н.В. Патология вертебрально-базилярной системы и нарушения мозгового кровообращения. М.: Медицина, 1980.
  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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