TY - JOUR AU - Valle-Lara, Ángela Patricia AU - Lemus-Torres, Celso Miguel AU - Cadena-Ortíz, Julián Enrique AU - Mateus-Jaime, Juan Camilo AU - Lemus-Landínez, Jesús Eduardo PY - 2015/08/12 Y2 - 2024/03/28 TI - Reporte de Caso Clínico y discusión de tema: síndrome del opérculo torácico JF - MedUNAB JA - MedUNAB VL - 18 IS - 2 SE - Caso Clínico DO - UR - https://revistas.unab.edu.co/index.php/medunab/article/view/2270 SP - 135-143 AB - <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Revision>0</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Pages>1</o:Pages> <o:Words>188</o:Words> <o:Characters>1037</o:Characters> <o:Company>LA RIVIERA</o:Company> <o:Lines>8</o:Lines> <o:Paragraphs>2</o:Paragraphs> <o:CharactersWithSpaces>1223</o:CharactersWithSpaces> <o:Version>14.0</o:Version> </o:DocumentProperties> <o:OfficeDocumentSettings> <o:AllowPNG /> </o:OfficeDocumentSettings> </xml><![endif]--> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> 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mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:Calibri; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-fareast-language:EN-US;} --> <!--[endif] --> <!--StartFragment--> <p class="MsoNormal" style="text-align: justify; line-height: 150%; mso-pagination: none; tab-stops: 28.0pt 56.0pt 84.0pt 112.0pt 140.0pt 168.0pt 196.0pt 224.0pt 252.0pt 280.0pt 308.0pt 336.0pt; mso-layout-grid-align: none; text-autospace: none;"><strong><span style="font-family: &quot;Times New Roman&quot;,serif; mso-ansi-language: ES;" lang="ES">Introduci&oacute;n:</span></strong><span style="font-family: &quot;Times New Roman&quot;,serif; mso-ansi-language: ES;" lang="ES"> El s&iacute;ndrome del Op&eacute;rculo Tor&aacute;cico (SOT) es un grupo heterog&eacute;neo y potencialmente disfuncional de s&iacute;ndromes relacionados con compresi&oacute;n extr&iacute;nseca de estructuras neurovasculares a su paso, desde el cuello hacia el miembro superior, por diferentes estructuras anat&oacute;micas cong&eacute;nitas o adquiridas, siendo m&aacute;s frecuente la compresi&oacute;n neurol&oacute;gica, ocasionando una variedad de sintomatolog&iacute;a que var&iacute;a seg&uacute;n grado de compresi&oacute;n y estructura afectada, que en algunos casos hacen dif&iacute;cil su diagn&oacute;stico. Es una entidad mal diagnosticada teniendo en cuenta que no hay criterios diagn&oacute;sticos establecidos; por eso, el examen f&iacute;sico es primordial para su sospecha cl&iacute;nica. El tratamiento inicial es conservador, siendo el tratamiento quir&uacute;rgico, una opci&oacute;n con m&uacute;ltiples procedimientos personalizados para cada tipo de paciente, seg&uacute;n etiolog&iacute;a. <strong>Objetivo:</strong> El prop&oacute;sito del art&iacute;culo es realizar una discusi&oacute;n del caso cl&iacute;nico basada en la evidencia, para permitir un conocimiento general de esta patolog&iacute;a, y comprender que hace parte de las causas de dolor en miembro superior, para as&iacute; orientar al profesional de la salud a realizar un diagn&oacute;stico oportuno y un tratamiento efectivo que disminuya el riesgo de complicaciones irreversibles. <strong>Resultados y conclusiones: </strong>Presentamos un caso cl&iacute;nico de una paciente Adulta Joven, con cuadro cl&iacute;nico caracterizado por s&iacute;ntomas neurovasculares, sincope, dolor tor&aacute;cico anterior izquierdo, y posterior dolor localizado en el miembro superior izquierdo, con sensaci&oacute;n de masa en cuello, parestesias, disminuci&oacute;n de la fuerza muscular, edema, palidez y frialdad del miembro. Se realiz&oacute; diagn&oacute;stico radiol&oacute;gico de costilla cervical accesoria, confirmado con resonancia nuclear, se asoci&oacute; a un s&iacute;ndrome de compresi&oacute;n del plexo braquial izquierdo, se realiz&oacute; diagn&oacute;stico de s&iacute;ndrome de op&eacute;rculo tor&aacute;cico izquierdo y fue llevada a cirug&iacute;a ante la no mejor&iacute;a con tratamiento conservador, se realiz&oacute; un abordaje supraclavicular para resecci&oacute;n de costilla cervical accesoria, escalenotomia, descompresi&oacute;n del plexo braquial y Arteria subclavia. Posterior, la paciente present&oacute; mejor&iacute;a notoria y remisi&oacute;n de los s&iacute;ntomas. <em>[Lemus CM, Cadena JE, Valle AP, Mateus JC, Lemus JE. Reporte de Caso Cl&iacute;nico y discusi&oacute;n de tema: S&iacute;ndrome del op&eacute;rculo Tor&aacute;cico. MedUNAB 2015; 18 (2): </em><span style="background: yellow; mso-highlight: yellow;"><em>135-143</em></span><em>]</em></span></p> <!--EndFragment--> ER -