Congenital cervical rib causing thoracic outlet syndrome

Background: Thoracic Outlet Syndrome (TOS) is a common condition caused by compression of neurovascular vessels traveling through the thoracic outlet. There are three categories of TOS, arterial (aTOS), neurogenic (nTOS), and venous (vTOS). These commonly present with pain in the neck, upper extremi...

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Autores principales:	Thomas Heye, Mary Roz Timbang, Lawrence Greiten, Gresham Richter
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Thoracic outlet syndrome Neurogenic thoracic outlet syndrome Congenital cervical rib Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/17df121ab55f4b55aac3ae0ec1439583
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spelling	oai:doaj.org-article:17df121ab55f4b55aac3ae0ec14395832021-11-20T05:05:59ZCongenital cervical rib causing thoracic outlet syndrome2213-576610.1016/j.epsc.2021.102126https://doaj.org/article/17df121ab55f4b55aac3ae0ec14395832022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S221357662100347Xhttps://doaj.org/toc/2213-5766Background: Thoracic Outlet Syndrome (TOS) is a common condition caused by compression of neurovascular vessels traveling through the thoracic outlet. There are three categories of TOS, arterial (aTOS), neurogenic (nTOS), and venous (vTOS). These commonly present with pain in the neck, upper extremity weakness, paresthesia, swelling, and discoloration. TOS can be caused by a cervical rib, which is a rare and usually benign anomaly. This typically results in aTOS. Case: This case, however, presents a 13-year-old male patient with nTOS caused by a cervical rib. He presented with weakness and pain of his right arm and a prior history of a partial neck mass resection. A physical exam revealed a firm supraclavicular mass and X-ray images confirmed the diagnosis of nTOS. Surgical resection of the anomalous rib was performed via a supraclavicular approach. Due to the difficulty of this operation, a multidisciplinary surgery team was formed, ensuring a positive outcome for the patient. Conclusions: To our knowledge only two case reports of nTOS caused by a cervical rib compression of the brachial plexus exist. One was iatrogenic and the other treated non-surgically. Due to this lack of knowledge as well as the debate on surgical versus non-surgical treatment of TOS, this case report seeks to bolster the current literature with a positive outcome to correction of a rare presentation.Thomas HeyeMary Roz TimbangLawrence GreitenGresham RichterElsevierarticleThoracic outlet syndromeNeurogenic thoracic outlet syndromeCongenital cervical ribPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102126- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Thoracic outlet syndrome Neurogenic thoracic outlet syndrome Congenital cervical rib Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Thoracic outlet syndrome Neurogenic thoracic outlet syndrome Congenital cervical rib Pediatrics RJ1-570 Surgery RD1-811 Thomas Heye Mary Roz Timbang Lawrence Greiten Gresham Richter Congenital cervical rib causing thoracic outlet syndrome
description	Background: Thoracic Outlet Syndrome (TOS) is a common condition caused by compression of neurovascular vessels traveling through the thoracic outlet. There are three categories of TOS, arterial (aTOS), neurogenic (nTOS), and venous (vTOS). These commonly present with pain in the neck, upper extremity weakness, paresthesia, swelling, and discoloration. TOS can be caused by a cervical rib, which is a rare and usually benign anomaly. This typically results in aTOS. Case: This case, however, presents a 13-year-old male patient with nTOS caused by a cervical rib. He presented with weakness and pain of his right arm and a prior history of a partial neck mass resection. A physical exam revealed a firm supraclavicular mass and X-ray images confirmed the diagnosis of nTOS. Surgical resection of the anomalous rib was performed via a supraclavicular approach. Due to the difficulty of this operation, a multidisciplinary surgery team was formed, ensuring a positive outcome for the patient. Conclusions: To our knowledge only two case reports of nTOS caused by a cervical rib compression of the brachial plexus exist. One was iatrogenic and the other treated non-surgically. Due to this lack of knowledge as well as the debate on surgical versus non-surgical treatment of TOS, this case report seeks to bolster the current literature with a positive outcome to correction of a rare presentation.
format	article
author	Thomas Heye Mary Roz Timbang Lawrence Greiten Gresham Richter
author_facet	Thomas Heye Mary Roz Timbang Lawrence Greiten Gresham Richter
author_sort	Thomas Heye
title	Congenital cervical rib causing thoracic outlet syndrome
title_short	Congenital cervical rib causing thoracic outlet syndrome
title_full	Congenital cervical rib causing thoracic outlet syndrome
title_fullStr	Congenital cervical rib causing thoracic outlet syndrome
title_full_unstemmed	Congenital cervical rib causing thoracic outlet syndrome
title_sort	congenital cervical rib causing thoracic outlet syndrome
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/17df121ab55f4b55aac3ae0ec1439583
work_keys_str_mv	AT thomasheye congenitalcervicalribcausingthoracicoutletsyndrome AT maryroztimbang congenitalcervicalribcausingthoracicoutletsyndrome AT lawrencegreiten congenitalcervicalribcausingthoracicoutletsyndrome AT greshamrichter congenitalcervicalribcausingthoracicoutletsyndrome
_version_	1718419583932563456

Congenital cervical rib causing thoracic outlet syndrome

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