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Pitcher's disease: A case of brain fog, arm weakness, numbness, and tingling.

Created on 23 Aug 2026

Authors

Alec Jotte, Nicole Kilada, Michele Richard, Edward Qian

Published in

Journal of vascular surgery cases and innovative techniques. Volume 12. Issue 5. Pages 102414. Epub Jul 14, 2026.

Abstract

Thoracic outlet syndrome (TOS) is a rare condition caused by compression of the lower trunk of the brachial plexus and/or subclavian vessels. This case report describes the presentation of a 56-year-old right-handed baseball pitcher who presented with 1 year of right arm pain, finger tingling, heaviness, and brain fog. A vascular duplex ultrasound guidance and functional maneuvers showed evidence of venous and neurogenic TOS. The patient was successfully treated with a first rib resection, substantially improving right arm symptoms and brain fog. This case highlights a correlation between nonspecific cognitive dysfunction and TOS, which is seldom reported in existing literature.

PMID:
42633163
Bibliographic data and abstract were imported from PubMed on 23 Aug 2026.

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