A Case of Cerebellar Infarction Caused by Acute Subclavian Thrombus Following Minor Trauma.
10.3349/ymj.2013.54.6.1538
- Author:
Hyeyoung PARK
1
;
Hee Jin KIM
;
Myoung Jin CHA
;
Jong Yun LEE
;
Im Seok KOH
;
Hyo Suk NAM
Author Information
1. Department of Neurology, National Medical Center, Seoul, Korea.
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Subclavian steal syndrome;
brain infarction;
thrombosis
- MeSH:
Brain Infarction/*diagnosis/etiology/pathology;
Cerebellar Diseases/diagnosis/etiology;
Female;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Thrombosis/*complications
- From:Yonsei Medical Journal
2013;54(6):1538-1541
- CountryRepublic of Korea
- Language:English
-
Abstract:
Subclavian steal syndrome caused by an acute thrombus is very rare. We present a case of cerebellar infarction with proximal subclavian artery thrombosis. A 56-year-old woman was admitted for sudden vertigo. One day prior to admission, she received a shoulder massage comprised of chiropractic manipulation. On examination, her left hand was pale and radial pulses were absent. Blood pressure was weak in the left arm. Downbeat nystagmus and a right falling tendency were observed. Brain MRI showed multiple acute infarctions in the left cerebellum. The findings of Doppler ultrasonography in the left vertebral artery were compatible with a partial subclavian artery steal phenomenon. Digital subtraction angiography demonstrated a large thrombus in the left subclavian artery. After heparin infusion, thrombus size markedly decreased. Cerebellar infarction caused by acute subclavian thrombosis following minor trauma is rare, but the thrombus can be successfully resolved with anticoagulation.
