{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:10:53Z","timestamp":1791396653852,"version":"4.3.3"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T00:00:00Z","timestamp":1656028800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>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.<\/jats:p>","DOI":"10.1093\/jscr\/rjac296","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T13:51:59Z","timestamp":1656078719000},"source":"Crossref","is-referenced-by-count":2,"title":["Acute cerebellar ischaemic stroke secondary to arterial thoracic outlet syndrome"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2315-0744","authenticated-orcid":false,"given":"Balamrit Singh","family":"Sokhal","sequence":"first","affiliation":[{"name":"School of Medicine, Keele University , Keele, Staffordshire , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Mohammadi","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University , Keele, Staffordshire , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janaka","family":"Weerathunga","sequence":"additional","affiliation":[{"name":"University Hospital North Midlands , Stoke-On-Trent, Staffordshire , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sriram","family":"Rajagopalan","sequence":"additional","affiliation":[{"name":"University Hospital North Midlands , Stoke-On-Trent, Staffordshire , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,6,24]]},"reference":[{"key":"2022062413510592400_ref1","doi-asserted-by":"crossref","first-page":"e965","DOI":"10.1016\/j.wneu.2017.11.148","article-title":"Cervical rib prevalence and its association with thoracic outlet syndrome: a meta-analysis of 141 studies with surgical considerations","volume":"110","author":"Henry","year":"2018","journal-title":"World Neurosurg"},{"key":"2022062413510592400_ref2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s40122-019-0124-2","article-title":"Thoracic outlet syndrome: a comprehensive review of pathophysiology, diagnosis, and treatment","volume":"8","author":"Jones","year":"2019","journal-title":"Pain Ther"},{"key":"2022062413510592400_ref3","doi-asserted-by":"crossref","first-page":"645","DOI":"10.4103\/0028-3886.68691","article-title":"Cervical rib with stroke as the initial presentation","volume":"58","author":"Sharma","year":"2010","journal-title":"Neurol India"},{"key":"2022062413510592400_ref4","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/j.jocn.2013.07.030","article-title":"Thromboembolic stroke associated with thoracic outlet syndrome","volume":"21","author":"Meumann","year":"2014","journal-title":"J Clin Neurosci"},{"key":"2022062413510592400_ref5","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1186\/s12883-020-01797-y","article-title":"Posterior cerebral artery stroke by reverse flow embolism in thoracic outlet syndrome - a case report","volume":"20","author":"Celier","year":"2020","journal-title":"BMC Neurol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/6\/rjac296\/44234938\/rjac296.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/6\/rjac296\/44234938\/rjac296.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T13:52:04Z","timestamp":1656078724000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac296\/6615429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,1]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac296","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,6,23]]},"published":{"date-parts":[[2022,6,1]]},"article-number":"rjac296"}}