The pill and the thoracic outlet and bilateral XXXX .

@entity1 @entity5032 @entity455 @entity918 @entity809 @entity6148 @entity6862 @entity1483 @entity400 @entity158 @entity923 @entity7280 @entity531
A case report is reviewed of a 22-year-old @entity1 who presented on July 22, 1980 with a 1-week history of bilaterally recurring complaints of @entity809 radiating up both arms followed by @entity5032 , @entity158 , and imperceptible and uncontrollable @entity400 of her hands. The @entity1 's symptoms usually began within minutes after she began typing, and slowly abated within 10-15 minutes after she was forced by discomfort to discontinue typing and hold her arms at her sides. The @entity1 also described, unilaterally, the same symptoms over the same period of time on awakening each morning. She had previously enjoyed excellent health, had been taking @entity7280 ( @entity6862 )--norgestrol and ethynyl estradiol--during the preceding 4 years without problems, and had gained 12 pounds during the preceding 6 months. Symptoms began exactly 7 days prior to the onset of her menses. Raynaud's phenomena were denied. X-rays of the cervical spine were normal, and specifically revealed no signs of @entity6148 or large lower cervical transverse processes. The @entity1 was given a single oral 80 mg dose of @entity1483 , and thereafter @entity918 50 mg, orally twice daily for 1 week. Symptoms were dramatically improved within 24 hours. When evaluated again on July 30, 1980, she was asymptomatic except for minimal complaints and physical findings of the @entity923 on the right. There were no complaints referrable to the @entity531 , but physical examination again documented findings of partial thoracic outlet @entity455 . Within 2 weeks the @entity1 was asymptomatic. When interviewed on August 29, 1980, the @entity1 was asymptomatic but gave the identical history of onset and recurrence of all her symptoms, to a lesser extent, exactly 1 week prior to the onset of her August menses. The @entity1 's symptoms totally disappeared by the 3rd day of her menses. In sum, both the @entity923 and the @entity531 quickly resolved when treatment with diuretics was extended the @entity1 for a short period of time premenstrually.
