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Atypical thoracic outlet syndrome and reverse flow thromboembolism.
[thoracic outlet syndrome]
Thoracic
outlet
syndrome
is
rare
in
children
but
may
have
serious
consequences
.
Compression
of
the
neurovascular
structures
at
the
thoracic
outlet
by
anomalous
soft
tissues
or
cervical
ribs
may
cause
neurological
deficits
in
the
upper
limb
and
venous
or
arterial
insufficiency
.
The
symptoms
and
signs
of
this
condition
are
well
documented
,
but
we
describe
two
patients
with
an
atypical
presentation
.
We
review
similar
published
cases
where
delay
in
diagnosis
resulted
in
cerebrovascular
catastrophe
.
Our
patients
presented
with
relatively
nonspecific
central
nervous
system
symptoms
and
were
found
to
have
thoracic
outlet
compression
.
Both
were
treated
by
surgical
decompression
of
the
thoracic
outlet
,
and
the
symptoms
completely
resolved
with
no
long
-lasting
neurological
consequences
.
We
highlight
the
importance
of
these
rare
cases
because
of
the
risk
of
stroke
and
discuss
the
theory
behind
the
pathological
process
.
Diseases
Validation
Diseases presenting
"cervical ribs may cause neurological deficits in the upper limb and venous or arterial insufficiency"
symptom
thoracic outlet syndrome
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