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Thoracic outlet syndrome caused by a cervical rib: case report

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Case report details neurogenic thoracic outlet syndrome in a 17-year-old with cervical ribs, highlighting diagnosis and imaging implications.

The patient experienced progressive pain and paresthesia in the neck and upper limb, indicating a significant nerve involvement from cervical ribs.
Electromyography revealed nerve conduction abnormalities in the left ulnar and median nerves, confirming the diagnosis of neurogenic thoracic outlet syndrome.
Magnetic resonance imaging identified narrowing in the left brachial plexus, related to cervical ribs, supported by various imaging techniques including CT scans.
Effective diagnosis and management of thoracic outlet syndrome requires thorough clinical evaluation and appropriate use of multiple imaging modalities.

Ennejjari et al. (2025) studied this question.

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Case report details neurogenic thoracic outlet syndrome in a 17-year-old with cervical ribs, highlighting diagnosis and imaging implications.