Thromboembolic stroke associated with thoracic outlet syndrome

被引:13
|
作者
Meumann, Ella M. [1 ]
Chuen, Jason [2 ]
Fitt, Greg [3 ]
Perchyonok, Yuliya [3 ]
Pond, Franklin [2 ]
Dewey, Helen M. [1 ]
机构
[1] Austin Hosp, Dept Neurol, Melbourne, Vic 3084, Australia
[2] Austin Hosp, Dept Vasc Surg, Melbourne, Vic 3084, Australia
[3] Austin Hosp, Dept Radiol, Melbourne, Vic 3084, Australia
关键词
Cervical rib; Ischaemic stroke; Thoracic outlet syndrome; BRACHIOCEPHALIC VASCULAR SYNDROME; CERVICAL RIB; CEREBRAL EMBOLISM; SUBCLAVIAN ARTERY; THROMBOSIS; AXILLARY; COMPLICATIONS; EMBOLIZATION; INFARCTION; OCCLUSION;
D O I
10.1016/j.jocn.2013.07.030
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Thoracic outlet syndrome occurs due to compression of the neurovascular structures as they exit the thorax. Subclavian arterial compression is usually due to a cervical rib, and is rarely associated with thromboembolic stroke. The mechanism of cerebral embolisation associated with the thoracic outlet syndrome is poorly understood, but may be due to retrograde propagation of thrombus or transient retrograde flow within the subclavian artery exacerbated by arm abduction. We report an illustrative patient and review the clinical features, imaging findings and management of stroke associated with thoracic outlet syndrome. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:886 / 889
页数:4
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