This Is MS Multiple Sclerosis Community: Knowledge & Support

THE THORACIC OUTLET SYNDROME (TOS) AND ITS APPARENT RELATION TO MULTIPLE SCLEROSIS

http://cirugiavascularactual.blogspot.c ... d-its.html

Summary and conclusions.

This is an update of our current knowledge and experience in the surgical treatment of TOS. The clinical aspects, pathology and complications of this disease are widely ignored and at times denied. Clinically it affects the upper limbs presenting with pain, ischemic phenomena, and venous congestion, all this may appear isolated or combined which may lead to diagnostic confusion, this is due to neurovascular bundle compression at the thoracic outlet triangles and the first rib upper edge.

Usually this situation is bilateral, but always more evident on one side, TOS may also present with more atypical symptoms as headaches, minor visual disturbances tinnitus of unexplained origin, or chest, neck and shoulder pain.
A detailed description of the vascular laboratory facilities is given, noteworthy are the different plethysmographyc evaluations and Echo Doppler that make evident jugular vein retrograde reflux.

Of the different surgical approaches to treat TOS, the transaxillary route of Roos has been our choice for many years, for it is safer. A transverse skin incision on the skin of the thoracic of the lower axilla opens the route to further upwards dissection that shall finally lead to the anterior arch of the first rib which, after careful dissection is partially extirpated liberating the pressure on the neurovascular structures.

Dr. Paolo Zamboni´s research and clinical experiences led us to determine the existence of jugular vein reflux in almost all TOS patients complicated with MS patients, and logically presuming proximal venous stenosis.

He treated these patients only with venous angioplasties, obtaining favorable results in some patients confirming his theory of venous hypertension as an important factor in the genesis of MS. The importance of his research and clinical experience have set a milestone in the research and treatment of TOS and MS and for the continuing scientific and clinical research in this apparently confusing subject of chronic cerebral venous hypertension.

This was one of Simon Lewis's many operations during his recovery from a devastating car accident. If I could recover from my "MS" as much as he has, even though he still has one-sided walking problems and uses an electronic muscle-stimulation device to walk, I'd be happy. His cognition has improved from coma to working, writing a book, and doing a TED Talk. I would even accept my piano-playing as it is.

Simon Lewis's book (Rise and Shine) is largely about a good lawyer and his family negotiating the insurance maze.

_________________
"Try - Just A Little Bit Harder" - Janis Joplin
CCSVI procedure Albany Aug 2010
'_MS' is over - if you want it
Patients sans/without patience

that's a more updated very good article on tos. thanks.