The scalenus anticus syndrome as a complication after gynecologic operations

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      The syndrome of neurocirculatory compression by lesions of the scalenus anticus muscle is reviewed, and four cases illustrating this syndrome are presented.
      • 1.
        This syndrome may result from the faulty positioning of the patient on the operating table. Injury to the scalenus anticus muscle may be caused by shoulder braces when the patient is maintained in Trendelenburg position, especially when one arm is abducted for intravenous fluid administration and when the head is hyperextended during the administration of the anesthetic.
      • 2.
        Prophylactic measures relate to protection of the scalenus muscle during the operation.
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