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Open Access Highly Accessed Case report

An unusual case of the syndrome of cervical rib with subclavian artery thrombosis and cerebellar and cerebral infarctions

Mirza Jusufovic1*, Else Charlotte Sandset1, Trine Haug Popperud1, Steinar Solberg2, Geir Ringstad3 and Emilia Kerty14

Author Affiliations

1 Department of Neurology, Oslo University Hospital, Oslo, Norway

2 Department of Cardiothoracic and Vascular Surgery, Oslo University Hospital, Oslo, Norway

3 Department of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway

4 Institute of Clinical Medicine, University of Oslo, Oslo, Norway

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BMC Neurology 2012, 12:48  doi:10.1186/1471-2377-12-48

Published: 28 June 2012

Abstract

Background

Cerebellar and cerebral infarctions caused by the syndrome of cervical rib with thrombosis of subclavian artery are very unusual.

Case presentation

We report the case of a 49-year-old male patient with a right cervical rib compression leading to subclavian arterial thrombosis and both cerebellar and cerebral infarctions secondary to retrograde thromboembolisation. Follow-up imaging revealed partial resolution of the thrombosis after combined anti-coagulant and anti-platelet therapy. The cervical rib and first costa were surgically removed to prevent additional events.

Conclusion

Cervical rib vascular compression should be promptly diagnosed and treated in order to avoid further complications, including cerebrovascular ischemic events.

Keywords:
Subclavian artery/pathology; Cervical Rib syndrome/complications; Arterial thoracic outlet syndrome; Stroke/complications