Embolic Stroke and Pulseless Right Arm in a Schoolgirl with Arterial Thoracic Outlet Syndrome: A Case Report

Authors

  • Aminur Rahman Registrar, Department of Neurology, Sir Salimullah Medical College and Mitford Hospital, Dhaka
  • Firoz Ahmed Quraishi Professor& Head, Department of Neurology, Sir Salimullah Medical College, Dhaka
  • Uttam Kumar Saha Assistant Professor, Department of Medicine, Sir Salimullah Medical College, Dhaka
  • Maliha Hakim Professor, Department of Neurology, Shaheed Suhrawardy Medical College, Dhaka
  • Afzal Momin Assistant Professor, Department of Neurology, Shaheed Suhrawardy Medical College, Dhaka
  • Md Nurul Amin Miah Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka

DOI:

https://doi.org/10.3329/bjn.v28i1.17195

Keywords:

Thoracic outlet syndrome, arterial Thoracic outlet syndrome, subclavian artery

Abstract

A rare clinical presentation arterial Thoracic outlet syndrome (TOS) is described in a young school-girl. TOS causing distal; disease is a rare cause of artery to- artery embolic stroke. Brain-stem ischemic stroke is a result of compromise to the posterior circulation. This is often due to antegrade embolism from the heart or proximal vessels. Retrograde blood flow has been described in the subclavian artery, thus making the distal subclavian artery a source of possible retrograde embolism to carotid circulation1. Clinical presentation also included left hemiparesis caused by right subclavian artery thrombosis and retrograde embolizatoin of thrombus via common carotid artery to the right middle cerebral artery (MCA) distribution.

Bangladesh Journal of Neuroscience 2012; Vol. 28 (1): 63-66

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Published

2013-12-01

How to Cite

Rahman, A., Quraishi, F. A., Saha, U. K., Hakim, M., Momin, A., & Miah, M. N. A. (2013). Embolic Stroke and Pulseless Right Arm in a Schoolgirl with Arterial Thoracic Outlet Syndrome: A Case Report. Bangladesh Journal of Neuroscience, 28(1), 63–66. https://doi.org/10.3329/bjn.v28i1.17195

Issue

Vol. 28 No. 1 (2012)

Section

Case Reports