Acute cerebellar ischaemic stroke secondary to arterial thoracic outlet syndrome. Issue 6 (24th June 2022)

• Record Type: Journal Article
• Authors: Sokhal, Balamrit Singh; Mohammadi, Leila; Weerathunga, Janaka; Rajagopalan, Sriram
• Is Part Of: Journal of surgical case reports. Volume 2022:Issue 6(2022)
• Publication Date: 2022-06-24
• Subjects: Stroke -- Cervical rib -- Thoracic outlet syndrome -- Vascular surgery; Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjac296
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Arterial thoracic outlet syndrome comprises a collection of symptoms due to compression of the neurovascular structures of the thoracic outlet. Cervical ribs are rare congenital abnormalities that are a cause of thoracic outlet syndrome, leading to upper limb complications depending on the compressed structure. Management tends to be surgical in the form of rib resection. We report a case of arterial thoracic outlet syndrome secondary to a cervical rib in a 45-year-old male who presented with left-sided cerebellar stroke caused by subclavian artery thrombosis. Medical management in the form of anticoagulation was favoured. Oedema in the recent peri-infarct zone due to reperfusion may have caused compression of the fourth ventricle due to anatomical proximity, with the risk of further neurological compromise and coning. At follow-up appointments, the patient had no residual upper limb or neurological symptoms.