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  • Title: Stroke Caused by Arterial Thoracic Outlet Syndrome in an Adolescent.
    Author: Schleifer L, Vogel S, Arun A, Lum YW, Lawrence C, Hui F, Sun LR.
    Journal: Child Neurol Open; 2022; 9():2329048X221105743. PubMed ID: 35692964.
    Abstract:
    Arterial thoracic outlet syndrome is a rare condition characterized by compression of the subclavian artery, often with post-stenotic aneurysm formation. Artery-to-artery embolic strokes related to thoracic outlet syndrome have been reported in the posterior circulation and in the ipsilateral anterior circulation. We present a case in which a thrombus secondary to thoracic outlet syndrome caused a contralateral anterior circulation stroke in an adolescent and postulate mechanisms of this rare occurrence. This case demonstrates that a subclavian thrombus due to thoracic outlet syndrome can take a circuitous path and cause an anterior circulation stroke contralateral to the diseased subclavian artery. In addition, this case illustrates the importance of a high index of suspicion for thoracic outlet syndrome in patients with stroke and associated arm pain or discoloration.
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