Open access Journal of Neurology & Neurosurgery

What is it about?

The neurogenic thoracic outlet syndrome (TOS) is a term used to describe symptoms of neurovascular compression in the cervical and superior thoracic regions. TOS presents a variety of etiologies, whether benign or malignant, idiopathic or secondary to a primary disease. Imaging exams play an important role in diagnosis and treatment consists of surgical intervention or conservative management. The authors show the case of a young 30 years old woman who presented a tumor in the left supraclavicular fossa region and upper limb irradiated pain ipsilateral to the lesion, compatible with TOS. Cervical region computed tomography scan has revealed numerous nodular lesions with a well-defined contour adjacent to the brachial plexus. The patient underwent surgery and the biopsy result revealed Hodgkin’s Lymphoma (LH). Therefore, this work discuss the TOS caused by LH in the supraclavicular fossa region, its consequences, as well as the diagnostic investigation and the surgical treatment.

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Why is it important?

The case reported raises an important discussion about the importance of the correct investigation of the etiology of the TOS. In this specific case, the imaging tests helped to identify a tumor-like etiology that after the surgical treatment turned out to be HL.