It seemed interesting, however, this October 2000 information seems to be one of the last times anything was written about this specific doctor's surgery. It seems as if he and his research fell off the face of the earth since ... maybe it didn't work so well after all?
Http://free-news.org/jacamp03.htm
(translated from spanish in Google)
''What does C.T.O.S. mean? Cerebral Thoracic Outlet Syndrome and refers to the pathological compression of the neurovascular structures that sometimes take place at the base of the neck. I will try to explain it to the reader in the simplest way possible: on both sides of the neck we have two regions called the Scalene Triangle which are delimited by the Anterior Scalene, Middle Scalene muscles and the rib. And in the middle are the Subclavian Artery, the Brachial Plexus and the vertebral and internal mammary arteries. Well, sometimes there is a compression of these neurovascular structures causing a malfunction of the nerve structures.
Dr. Femández Noda discovered that this compression also affects the vertebral artery, causing less blood flow to reach the brain and hindering venous return in the cranio encephalic area, which causes good part of the degenerative processes of the central nervous system: Parkinson's, multiple sclerosis, cerebellar ataxia, epilepsy and some cases of Alzheimer's, among others.
- Dr. Fernandez Noda is... an American cardiopulmonary surgeon based in Puerto Rico and of Cuban origin who in the early 1980s was intervening for OST on a patient who also suffered from Parkinson's and observed after the operation that, while the problems had been resolved, symptoms of O.S.T., the symptoms of that other disease had improved.
The cause was fundamentally in the compression that occurred in the vertebral artery as it caused an intermittent decrease in its blood flow. And he understood that this was what caused the underlying cerebral ischemia as an element of disability in the pathology of the central nervous system.
-I suppose that before such an important discovery the doors would be opened and the studies would continue under the auspices of some university or hospital...
- Quite the contrary. The response was a systematic frontal attack, complete misunderstanding and a general refusal to verify his claims and evidence.
To this end, he systematically performed arteriographic studies of the supra-aortic trunks, vascular Doppler studies -including transcranial Doppler- and radioactive isotope uptake studies (SPECT and PetScan), most of them at his own expense.
However, incomprehensibly, the medical establishment continued to show indifference to his research work. And at the same time that the number of patients operated on successfully and the number of scientific presentations before international forums grew... the indifference of the rest of the medical class also grew.''
Written by
MaxFloyd1950
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''In another paper Fernandez Noda et al[4] conclude that “Parkinson’s disease is a complication of CTOS, caused by insufficient irrigation of the dopamine producing cells and subsequent reduction of dopamine secretion.” Using a surgical technique to perform a division of the scalene muscles (scalenotomy) in order to remove neurovascular compression the authors achieved excellent results with 5% of patients reported completely cured of Parkinson’s symptoms and a further 80% showing significant improvement and able to reduce their dependence on medication. The authors state “After operation, these patients continue to take anti-Parkinson drugs etc. in progressively decreasing quantities until symptoms abate and further medication is unnecessary.” Further they conclude “compression is produced by the anterior scalene muscles and the cervical ribs at the level of C6-7. The faulty irrigation of the cerebellum and cerebral cells produces CTOS and its complications, notable among which are ipsilateral paralysis and Parkinson’s disease.”
Hi Max, thank you very much for this interesting information. I was unable to open the link for the translation of the first article (and my Spanish is unfortunately nonexistent). Would you mind posting again? My husband (with PD) is scheduled for cervical fusion surgery next week). Thank you very much.
“The C6-C7 disc is 6th cervical disc near the lower part of the neck, near the top of the shoulders.
The nerve root that would be affected by the C6-C7 disc herniation controls the arms, the shoulders, the heart, the lungs, and more. When a C6-C7 herniated disc occurs and the C6-C7 nerve root is irritated, the symptoms usually include neck pain and pain in the arms, weakness in the hands and weakness in the arms, shoulder pain, chest pains, uncontrollable sweating, headaches, and possibly more. Many times, this condition can be misdiagnosed.”
originalText
Thoracic outlet syndrome symptoms
The symptoms of thoracic outlet syndrome depend on what is being squashed (compressed) in your thoracic outlet. As mentioned above, in most thoracic outlet syndrome cases it is the nerves of the brachial plexus rather than blood vessels that are compressed. Therefore, symptoms are more likely to be due to nerve compression. However, sometimes a combination of nerves and blood vessels may be compressed at the same time. This can give rise to a mixture of symptoms.
Thoracic outlet syndrome symptoms are usually just felt on one side of the body. Rarely, symptoms can occur on both sides.
Thoracic outlet syndrome symptoms due to nerve compression
The symptoms depend on which nerves of the brachial plexus are compressed. Most commonly you will develop pain and pins and needles in your hand and arm. You may particularly feel these along the inside of your arm and into your ring and little finger. Pins and needles are usually worse at night and can sometimes wake you from your sleep.
If different brachial plexus nerves are compressed, you may have neck, ear, upper back, upper chest and outer arm pain on the affected side. Some people also have headaches.
Your affected arm may feel weak. You may also notice that your affected hand gets very cold, especially in cold weather.
Nerve compression
There is not currently a general agreement about what treatment is best for this type of thoracic outlet syndrome. More trials are needed to determine the best treatment. However, in general, treatment is aimed at relieving your symptoms.
Physiotherapy may be helpful for some people and may include stretching exercises, exercises to improve posture and exercises to increase muscle strength and endurance. These exercises may all help to open up the thoracic outlet and relieve the compression.
You may also need to modify or change your work or sport activities. This may involve looking at the way that you sit in a chair or at your desk. An occupational therapist may be able to help with this.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
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