%0 Journal Article %T True neurogenic thoracic outlet syndrome in a competitive swimmer: a case report of this rare association %A Almeida %A Diogo Fraxino de %A Meyer %A Richard D. %A Oh %A Shin J. %J Arquivos de Neuro-Psiquiatria %D 2007 %I Academia Brasileira de Neurologia - ABNEURO %R 10.1590/S0004-282X2007000700031 %X true neurogenic thoracic outlet syndrome (tos) is an uncommon disorder despite of be a frequent reason for referral to the emg laboratories. we describe the second case in the literature of true tos in a competitive swimmer with progressive weakness and severe atrophy of the left thenar eminence. emg showed lower trunk plexopathy. x-ray and mri of the cervical spine and brachial plexus were normal. surgical exploration evidenced the lower trunk retracted and pulled by a fibrous band. it was excised and neurolysis of the plexus was done with gradual improvement of function. we discuss the possible pathophysiology of this association. %K thoracic outlet syndrome %K swimming %K brachial plexopathy. %U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0004-282X2007000700031&lng=en&nrm=iso&tlng=en