Conclusion
Diagnosis of NCS remains challenging. Most patients remain symptomatic
without adequate workup and are treated for non-specific chronic pain.
NCS should be in the differential for patients who are below 40, female,
and present with the constellation of symptoms outlined above. Diagnosis
can be made with ultrasound or CT alone, without the need for
angiography. Prompt referral to a vascular specialist is desirable as
there are many treatment options for these patients. Increasing
awareness is paramount as NCS is often overlooked and misdiagnosed. A
multi-institution or collaborative registry would be better to delineate
strategies for diagnosis and management of NCS.