Acute cerebellar ischaemic stroke secondary to arterial thoracic outlet syndrome.
Balamrit Singh SokhalLeila MohammadiJanaka WeerathungaSriram RajagopalanPublished in: Journal of surgical case reports (2022)
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.
Keyphrases
- upper limb
- spinal cord
- case report
- atrial fibrillation
- acute myocardial infarction
- cerebral ischemia
- pulmonary hypertension
- liver failure
- heart failure
- mitral valve
- spinal cord injury
- venous thromboembolism
- high resolution
- pulmonary artery
- coronary artery
- left ventricular
- coronary artery disease
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation