Michael R Go
Tanzania
Case Report
Cervical Rib Causing Occlusion of the Subclavian Artery and Thoracic Outlet Syndrome
Author(s): Brandon R Erickson, Michael R Go and Patrick S VaccaroBrandon R Erickson, Michael R Go and Patrick S Vaccaro
Purpose: To present an unusual case of a cervical rib as a cause of subclavian artery occlusion and thoracic outlet syndrome.
Procedures: Case report
Results: A 39-year-old female presented to the emergency room with a 2-day history of unilateral headache, facial tingling, and slurred speech, along with a 2-month history of left upper extremity weakness and coolness of the left hand. A stroke workup that included carotid duplex ultrasonography revealed findings suggestive of left subclavian occlusion, later confirmed on CT angiography. Neurologic workup suggested migraine, rather than ischemia, as the cause of headache; however, the subclavian occlusion prompted further investigation, including a chest radiograph that revealed bilateral cervical ribs. The patient was taken to surgery where her left cervical rib was exc.. View More»
DOI:
10.4172/2329-6925.1000202