Venous Thoracic Outlet Syndrome as a Cause of Intractable Migraines

Veer Chahwala, Jun Tashiro, Xiaoyi Li, Atif Baqai, Jorge Rey, Handel Robinson

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Thoracic outlet syndrome (TOS) refers to the compression of the neurovascular bundle within the thoracic outlet. Cases are classified by primary etiology—arterial, neurogenic, or venous. In addition to the typical symptoms of arm swelling and paresthesias, headaches have been reported as a potential symptom of TOS. In this report, we describe a patient with debilitating migraines, which were consistently preceded by unilateral arm swelling. Resolution of symptoms occurred only after thoracic outlet decompression. Patients with migraines and concomitant swelling and/or paresthesias, especially related to provocative arm maneuvers, should be considered a possible atypical presentation of TOS and evaluated in more detail.

Original languageEnglish (US)
Pages (from-to)285.e5-285.e8
JournalAnnals of Vascular Surgery
StatePublished - Feb 1 2017

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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