Neurosurgeon specializing in Thoracic Outlet Syndrome
Você sente dores nas costas que vão e voltam? Formigamentos? Peso nos braços? E ninguém te entende?
Dr. Thomas Marcolini - Médico especialista para a Síndrome do Desfiladeiro Torácico
I am your specialist neurosurgeon for thoracic outlet syndrome. I offer compassionate care and cutting-edge technology for consultations, examinations, and other treatments.
Minha Trajetória:
- Formação: Graduado pela FURB e especialista em Neurocirurgia pelo Hospital Mackenzie. Formação em Nervos Periféricos na Argentina.
- Where I offer my services: Appointments in São Paulo, Curitiba, and online.
- Referência Digital:
Criador do maior canal do Mundo no Youtube e Instagram exclusivos a lesões de nervos periféricos.
CRM 33811
O que é Síndrome do Desfiladeiro Torácico?
Main Symptoms:
- Dor e formigamento na mão e no antebraço.
- Peso nos braços ao levantar eles para cima.
Quando o incômodo piora?
- Ao dormir por cima do braço.
- Raising your arms above your head for simple everyday tasks, such as washing your hair in the shower or hanging clothes on a clothesline.
What are the types of Thoracic Outlet Syndrome?
There are different causes and types of thoracic outlet syndrome.
Of the nerves
Neurogenic thoracic outlet syndrome occurs when the nerves that run from the neck to the arm (the brachial plexus) are compressed. More than 90% of cases are neurogenic.
From the vein
Thoracic outlet syndrome occurs when a vein is compressed, which can lead to thrombosis; 5% of cases are venous.
From the artery
A síndrome do desfiladeiro torácico da artéria ocorre quando uma artéria é comprimida. Apenas 1% dos casos são arteriais.
Quais são os sintomas da Síndrome do desfiladeiro torácico?
The symptoms of thoracic outlet syndrome vary depending on the type of thoracic outlet. They also vary in intensity. Patients who work more with their hands for long periods experience more pain in their back and arms. They also report tingling, especially at night. Stressful days and long work hours make their nights a nightmare.
Sintomas da Síndrome do Desfiladeiro Torácico Neurogênico (dos nervos)
The main symptoms of neurogenic thoracic outlet syndrome (affecting the nerves) are pain or weakness in the arm and hand, tingling or discomfort in the fingers, arm that tires quickly, atrophy, and weakness in the hand.
Sintomas da Síndrome do Desfiladeiro Torácico Venoso
The main symptoms of thoracic outlet syndrome include swelling of the arm, hand, and fingers; painful tingling in the hand and arm; and very prominent veins, especially during flare-ups.
Sintomas da Síndrome do Desfiladeiro Torácico Arterial
Symptoms of thoracic outlet syndrome include cold and pale hands, pain in the hand and arm, especially during overhead arm movements, embolism (blockage) of an artery, and aneurysm of the subclavian artery.
What are the causes of Thoracic Outlet Syndrome?
A principal causa da síndrome do desfiladeiro torácico está relacionada a uma anormalidade congênita (desde o nascimento). A patologia pode também ser decorrente de uma lesão, causada por um acidente.
Costela cervical acessória
Between 1% and 3% of the population has a cervical rib, which can grow on one side or both. Having this anatomical variation increases the chance of compression of nerves or blood vessels that pass through this small space between muscles and bones.
Músculo anormal ou formação da primeira costela
Abnormal muscle or first rib formation: some people may have an extra or aberrant scalene muscle (an internal neck muscle) or an abnormal first rib or clavicle. These deformities can compress blood vessels or nerves.
Traumatic injury
Many patients report that their symptoms began after an accident, mainly a whiplash injury (from a sudden car stop).
Musculação
Com o excesso de musculação, os músculos do pescoço podem comprimir os nervos, resultando em síndrome do desfiladeiro torácico.
Equipe Preparada e Humanizada
We have been performing peripheral nerve surgery for many years. We have treated patients from all over the world.
We provide Telemedicine services for Thoracic Outlet Syndrome.
Sem sair de casa, você conhece o Dr. Thomas e pode iniciar o seu tratamento!
Movimentos braçais repetidos
Os movimentos braçais repetitivos como a prática de natação, beisebol, cabeleireiros ou outros empregos que exigem braços levantados são mais susceptíveis a desenvolver a síndrome do desfiladeiro torácico.
Weight gain
O aumento de peso como ocorre com a massa muscular extra, a gordura extra no pescoço pode comprimir os nervos ou vasos subclávios, desenvolvendo a síndrome do desfiladeiro torácico.
Tumor no pescoço
In rare cases, a tumor in the neck can cause nerve compression, resulting in thoracic outlet syndrome.
How is the diagnosis made?
The diagnosis of thoracic outlet syndrome is made through a physical and clinical examination of the patient, using provocative maneuvers to check for the presence of symptoms. Another important assessment is through imaging tests such as MRI and ultrasound.
Treatments for Thoracic Outlet Syndrome
Treatment for thoracic outlet syndrome is determined according to the specific syndrome affecting the patient—whether it is thoracic outlet syndrome, neurogenic, or vascular—and its degree of complexity.
Tratamento para Síndrome do desfiladeiro neurogênico
Treatment for neurogenic outlet syndrome commonly begins with physical therapy. If physical therapy does not alleviate the symptoms, microsurgery may become necessary.
Treatment for Thoracic Outlet Syndrome
Treatment for thoracic outlet syndrome initially involves rehabilitation. If initial treatment does not yield positive results, the patient may undergo microsurgery recommended for TOS.
Treatment for Thoracic Outlet Syndrome
Treatment for arterial thoracic outlet syndrome may include medication (anticoagulants) and reconstruction or replacement of the artery if it has an aneurysm or contains a clot. Surgery is recommended for arterial TOS in severe or refractory cases.
Bilateral treatment
O tratamento bilateral para a síndrome do desfiladeiro torácico é realizado em pacientes que apresentam a patologia dos dois lados. Pessoas com diagnóstico de SDT de um lado devem ter o outro lado sempre investigado, o tratamento é realizado de acordo com a causa da patologia
O que oferecemos no tratamento da Síndrome do Desfiladeiro Torácico?
Para restaurar a saúde e qualidade de vida de pacientes que sofrem com a síndrome do desfiladeiro torácico, os especialistas que integram a equipe do Dr. Thomas Marcolini, oferecem atendimento humanizado e tecnologia de ponta, para proporcionar diagnósticos e tratamentos precisos e eficazes.
"The most important thing is to offer you the quality of life you deserve. I hope this information has helped you in some way. We also hope to be able to help you through our medical services; feel welcome! If you have any questions or would like an evaluation, feel free to schedule an appointment with us." - Dr. Thomas Marcolini.
Exclusive dedication to peripheral nerve pathologies.
Neurosurgeon Dr. Thomas Marcolini possesses extensive technical expertise in this type of surgery. He is highly qualified and dedicated exclusively to peripheral nerve pathologies. We strive to restore the health and quality of life of our patients through minimally invasive techniques and compassionate care.
Minha missão é oferecer o melhor cuidado possível, aliando excelência técnica e acolhimento. Dessa forma, busco garantir a satisfação e o bem-estar de cada paciente que confia a mim a responsabilidade de cuidar de sua saúde e qualidade de vida.
