Thromboembolic stroke associated with thoracic outlet

J Clin Neurosci · May 2014

Review Case Reports

Thromboembolic stroke associated with thoracic outlet syndrome.

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.

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- Ella M Meumann, Jason Chuen, Greg Fitt, Yuliya Perchyonok, Franklin Pond, and Helen M Dewey.
- Department of Neurology, Austin Hospital, Heidelberg, Melbourne, VIC, Australia. Electronic address: ella.meumann@gmail.com.
- J Clin Neurosci. 2014 May 1; 21 (5): 886-9.
AbstractThoracic 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.Copyright © 2013 Elsevier Ltd. All rights reserved.

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Thromboembolic stroke associated with thoracic outlet syndrome.

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