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01-04-2012 | Original Paper

Cervical ribs with neurological sequelae in children: a case series

Authors: R. Shane Tubbs, Mitchel Muhleman, Joseph Miller, Mohammadali M. Shoja, Marios Loukas, John C. Wellons, W. Jerry Oakes

Published in: Child's Nervous System | Issue 4/2012

Abstract

Introduction

Cervical ribs may result in thoracic outlet syndrome. Neurological compromise in children with cervical ribs, however, is rare.

Patients and methods

We report our experience with cervical ribs in a pediatric population and review this specific literature.

Results

In our experience with a pediatric neurosurgical population, symptomatic cervical ribs were often identified in patients with Chiari I malformation. Surgical resection of symptomatic cervical ribs in children appears to have good long-term results.

Conclusions

Based on our experience, symptomatic cervical ribs should not be considered pathology peculiar to the adult population. Although uncommon, children may present with symptomatic cervical ribs that may necessitate surgical intervention.

Anson AW (1958) Surgical treatment for symptoms produced by cervical ribs and the scalenus anticus muscle. Surg Gynecol Obstet 85:687

Arthur LG, Teich S, Hogan M, Caniano DA, Smead W (2008) Pediatric thoracic outlet syndrome: a disorder with serious vascular complications. J Pediatr Surg 43:1089–1094PubMedCrossRef

Davies AH, Walton J, Stuart E, Morris PJ (1991) Surgical management of the thoracic outlet compression syndrome. Br J Surg 78:1193–1195PubMedCrossRef

Iraci G, Negrin P, Zampieri P, Fardin P, Pardatscher K, Fiore DL (1981) Cervical rib syndrome: a neurosurgical experience with a series of 38 cases. Int Surg 6:325–330

Sen S, Disçigil B, Boga M, Ozkisacik E, Inci I (2007) Thoracic outlet syndrome with right subclavian artery dilatation in a child — transaxillary resection of the pediatric cervical rib. Thorac Cardiovasc Surg 55:339–341PubMedCrossRef

Sheen W (1913) Removal of a left cervical rib. Proc R Soc Med 6:148–150PubMed

Southam A (1924) Cervical ribs in children. Br Med J 2:844–845PubMedCrossRef

Sunderland S (1978) Brachial plexus lesions due to abnormal ribs. The ‘cervical rib’ syndrome in nerves and nerve injuries. Churchill Livingstone, Edinburgh, pp 920–924

Thorburn W (1905) The seventh cervical rib and its effects upon the brachial plexus. Medio-Chirurg Trans 88:109–125

10.

Tubbs RS, Tyler-Kabara EC, Salter EG, Sheetz J, Zehren SJ, Oakes WJ (2006) Additional vascular compression of the brachial plexus in a cadaver with a cervical rib: case illustration. Surg Radiol Anat 28:112–113PubMedCrossRef

Title: Cervical ribs with neurological sequelae in children: a case series
Authors: R. Shane Tubbs
Mitchel Muhleman
Joseph Miller
Mohammadali M. Shoja
Marios Loukas
John C. Wellons
W. Jerry Oakes
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 4/2012
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-011-1608-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cervical ribs with neurological sequelae in children: a case series

Abstract

Introduction

Patients and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Patients and methods

Results

Conclusions

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