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Updated: Aug 29, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Bilateral neurogenic thoracic outlet syndrome
Hacer Erdem Tilki1, Erik Stålberg, Lütfi Incesu
1Department of Neurology, Ondokuz Mayis University, Samsun, Turkey. hacererdem@superonline.com
Abstract:
We report a case of bilateral neurogenic thoracic outlet syndrome (TOS). Electrophysiological examination suggested the presence of bilateral lower brachial plexus neuropathy. Radiography showed rudimentary bilateral cervical ribs. In the cases reported in the literature to date, the clinical findings are typically unilateral despite the common presence of bilateral bony abnormalities. Neurogenic TOS should be considered in young women, even if they present with bilateral symptoms, when they have occupations requiring strenuous activity of the upper limbs.
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