Peter J. Goadsby, MB, BS, PhD
To the editor: The thoracic outlet syndrome is a relatively common problem, although full clinical characterization of the signs may be difficult. Cervical rib is not only a cause of the syndrome but also a well-described anatomic variant occurring in 0.46% of persons. The relation of this finding to the symptoms described by the patient, however, is often unclear (1).
A 42-year-old man being seen for headaches mentioned during the consultation that he had had a problem with his left arm. When he turned his head to the right and positioned his left arm, he had parasthesiae in the medial
Goadsby PJ. A Subclavian Bruit in the Thoracic Outlet Syndrome. Ann Intern Med. ;110:323. doi: 10.7326/0003-4819-110-4-323_1
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Published: Ann Intern Med. 1989;110(4):323.
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