An Uncommon Culprit: Trapezius Dystonia As a Cause of Thoracic Outlet Syndrome: A Case Report

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2024 Aug 5

PMID 39099970

Authors

Jamie Philp

Won Jae Jeong

Paul Paily

Affiliations

Soon will be listed here.

Abstract

Thoracic outlet syndrome (TOS) results from compression of the neurovascular bundle in the thoracic outlet. Several etiologies can contribute to the development of thoracic outlet syndrome, including both congenital and acquired causes. Historically, trapezius pathology has not been considered a cause of TOS; however, here we report a patient with neurogenic TOS plus ipsilateral trapezius hypertonicity and hypertrophy who had significant symptomatic improvement following botulinum toxin injections to trapezius.

References

Danielson K, Odderson I . Botulinum toxin type A improves blood flow in vascular thoracic outlet syndrome. Am J Phys Med Rehabil. 2008; 87(11):956-9. DOI: 10.1097/PHM.0b013e31818a51c3. View

Franklin G, Fulton-Kehoe D, Bradley C, Smith-Weller T . Outcome of surgery for thoracic outlet syndrome in Washington state workers' compensation. Neurology. 2000; 54(6):1252-7. DOI: 10.1212/wnl.54.6.1252. View

Masocatto N, Da-Matta T, Prozzo T, Couto W, Porfirio G . Thoracic outlet syndrome: a narrative review. Rev Col Bras Cir. 2019; 46(5):e20192243. DOI: 10.1590/0100-6991e-20192243. View

Li N, Dierks G, Vervaeke H, Jumonville A, Kaye A, Myrcik D . Thoracic Outlet Syndrome: A Narrative Review. J Clin Med. 2021; 10(5). PMC: 7957681. DOI: 10.3390/jcm10050962. View

Wilbourn A . Thoracic outlet syndrome surgery causing severe brachial plexopathy. Muscle Nerve. 1988; 11(1):66-74. DOI: 10.1002/mus.880110111. View

Foley J, Finlayson H, Travlos A . A review of thoracic outlet syndrome and the possible role of botulinum toxin in the treatment of this syndrome. Toxins (Basel). 2012; 4(11):1223-35. PMC: 3509705. DOI: 10.3390/toxins4111223. View

Greenberg J, Alix K, Nehler M, Johnston R, Brantigan C . Computed tomography-guided reoperation for neurogenic thoracic outlet syndrome. J Vasc Surg. 2014; 61(2):469-74. DOI: 10.1016/j.jvs.2014.07.008. View

Huang J, Zager E . Thoracic outlet syndrome. Neurosurgery. 2004; 55(4):897-902. DOI: 10.1227/01.neu.0000137333.04342.4d. View

Christo P, Christo D, Carinci A, Freischlag J . Single CT-guided chemodenervation of the anterior scalene muscle with botulinum toxin for neurogenic thoracic outlet syndrome. Pain Med. 2010; 11(4):504-11. DOI: 10.1111/j.1526-4637.2010.00814.x. View

10.

Howard M, Jones M, Clarkson R, Donaldson O . Pectoralis minor syndrome: diagnosis with Botulinum injection and treatment with tenotomy - a prospective case series. Shoulder Elbow. 2022; 14(2):157-161. PMC: 8899325. DOI: 10.1177/1758573220968454. View

11.

Jones M, Prabhakar A, Viswanath O, Urits I, Green J, Kendrick J . Thoracic Outlet Syndrome: A Comprehensive Review of Pathophysiology, Diagnosis, and Treatment. Pain Ther. 2019; 8(1):5-18. PMC: 6514035. DOI: 10.1007/s40122-019-0124-2. View

12.

Landry G, Moneta G, Taylor Jr L, Edwards J, Porter J . Long-term functional outcome of neurogenic thoracic outlet syndrome in surgically and conservatively treated patients. J Vasc Surg. 2001; 33(2):312-7; discussion 317-9. DOI: 10.1067/mva.2001.112950. View

13.

Balci A, Balci T, Cakir O, Eren S, Eren M . Surgical treatment of thoracic outlet syndrome: effect and results of surgery. Ann Thorac Surg. 2003; 75(4):1091-6; discussion 1096. DOI: 10.1016/s0003-4975(02)04725-2. View

14.

Orlando M, Likes K, Mirza S, Cao Y, Cohen A, Lum Y . A decade of excellent outcomes after surgical intervention in 538 patients with thoracic outlet syndrome. J Am Coll Surg. 2015; 220(5):934-9. DOI: 10.1016/j.jamcollsurg.2014.12.046. View

15.

Axelrod D, Proctor M, Geisser M, Roth R, Greenfield L . Outcomes after surgery for thoracic outlet syndrome. J Vasc Surg. 2001; 33(6):1220-5. DOI: 10.1067/mva.2001.113484. View

16.

Crosby C, Wehbe M . Conservative treatment for thoracic outlet syndrome. Hand Clin. 2004; 20(1):43-9, vi. DOI: 10.1016/s0749-0712(03)00081-7. View

17.

Luu D, Seto R, Deoraj K . Exercise rehabilitation for neurogenic thoracic outlet syndrome: a scoping review. J Can Chiropr Assoc. 2022; 66(1):43-60. PMC: 9103635. View

18.

Jordan S, Ahn S, Freischlag J, Gelabert H, Machleder H . Selective botulinum chemodenervation of the scalene muscles for treatment of neurogenic thoracic outlet syndrome. Ann Vasc Surg. 2000; 14(4):365-9. DOI: 10.1007/s100169910079. View