Differential Diagnosis in Patients with Possible NTOS

  • Sheldon E. Jordan


Patients in whom the diagnosis of NTOS is being considered usually have neck and arm pain, sensory changes, and weakness that may be exacerbated by certain stress maneuvers. As discussed in Chap. 7, the presence of these features in a patient’s history and the reproduction of concordant experiences by bedside examination are two fundamental processes that start the diagnostic process.

The diagnostic process then continues with a consideration of entities that simulate NTOS but are, in fact, separate entities. Equally important but often overlooked is the need to recognize certain conditions that commonly coexist with NTOS but are associated with a poor outcome to NTOS-directed therapy (“game changers”) and, therefore, require a more dramatic change in the therapeutic approach.


Carpal Tunnel Syndrome Complex Regional Pain Syndrome Cervical Dystonia Myofascial Pain Chronic Widespread Pain 
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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of NeurologyNeurological Associates of West Los AngelesSanta MonicaUSA

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