case:
female 24 years old, paresthesia in both upper limb, tingling in 4 and 5 fingers, mostly appears at night, tendersness and pain in the both upper limbs, neck, shoulder, back muscles, weakness/ decreased muscle stength of both upper limbs,
start at 5 years ago with the pain in the wrist, worsen by time, pain and parssthesia has spreaded proximaly, have had to birth
, with pelvic floor dysfunction during both pregency, suffering still from that, can feel dizzy or breathlessness from time to time.

ROM in neck is optimal, some pain at lat flex to left side.
examination of thoracic oulet syndrom is postive

but if thoracic oulet syndrom can be bilat?
MRI of head , neck and bracial plexus, or EMG?

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