The first case of scalenus syndrome verified by multispiral CT angiography

Abstract

In the case presented, we performed for the first time verificationof compression of the subclavian artery by the scalenus anteriormuscle, in scalenus syndrome, with the use of multispiral computerized tomography in the angiography regimen. Detaileddescription 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 isdemonstrated, as confirmed clinically (disappearance of symptoms of right hand ischemia, right brachial plexus compressionand vertebral artery syndrome) and by data of functional investigations (ultrasound dopplerography and brainstem auditoryevoked potentials).

Keywords

• scalenus syndrome
• scalenotomy
• vertebral artery syndrome
• computerized tomography
• angiography