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KMID : 1005420130150030221
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Journal of Cerebrovascular and Endovascular Neurosurgery
2013 Volume.15 No. 3 p.221 ~ p.224
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Distal Subclavian Artery Occlusion Causing Multiple Cerebral Infarcts Consequence of Retrograde Flow of a Thrombus?
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Baek Joon-Hyun
Shin Dong-Hoon
Lee Yeong-Bae
Kang Chang-Ki
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Abstract
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Intracranial embolization usually arises from the heart, a vertebrobasilar artery, a carotid artery, or the aorta, but rarely from the distal subclavian artery upstream of an embolus. We report on a patient who experienced left shoulder and forearm pain with weak blood pressure and pulse followed by concurrent onset of left hemiplegia. This case is a rare example of multiple cerebral embolic infarctions, which developed as a complication of distal subclavian artery thrombosis possibly associated with protein S deficiency.
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KEYWORD
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Subclavian artery, Protein S deficiency, Thoracic outlet syndrome, Retrograde cerebral infarction
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