Cervical ribs with neurological sequelae in children: a case series

Childs Nerv Syst. 2012 Apr;28(4):605-8. doi: 10.1007/s00381-011-1608-5. Epub 2011 Oct 18.

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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Arnold-Chiari Malformation / complications
  • Arnold-Chiari Malformation / diagnostic imaging
  • Arnold-Chiari Malformation / surgery
  • Cervical Rib / diagnostic imaging*
  • Cervical Rib / surgery*
  • Child
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Radiography
  • Thoracic Outlet Syndrome / complications
  • Thoracic Outlet Syndrome / diagnostic imaging
  • Thoracic Outlet Syndrome / surgery