EJMCR. 2020; 4(3): 97-99

Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter

Authors: Benjamin Ng Han Sim, Ganeshwara Durai Raja Lingam, Susan Wendy Matthew, Santhi Datuk Puvanarajah.

ABSTRACT

Background: Subclavian pseudoaneurysm is a rare sequalae of untreated ipsilateral clavicular bone fracture and may be complicated with distal embolization, causing an acute ischemia of ipsilateral upper limb. Case Presentation: We present a challenging case of subclavian pseudoaneurysm who was later discovered to have a previously missed clavicular bone fracture. The case was complicated with concurrent recurrent ischemic limb and transient ischemic attack of the brain. Conclusion: Although subclavian artery pseudoaneurysm as a cause for transient ischemic attack has not been described in literature, we believe that our case has highlighted the possibility of such association.

Keywords:
Case report, subclavian artery pseudoaneurysm, vascular injury, acute ischemic limb, transient ischemic attack, stroke, clavicular bone fracture


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Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter


Authors
Benjamin Ng Han Sim
Neurology Department, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
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Ganeshwara Durai Raja Lingam
Radiology Department, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
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Susan Wendy Matthew
Surgical Department, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
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Santhi Datuk Puvanarajah
Neurology Department, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
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Correspondence to:
. Benjamin Ng Han Sim, Neurology Fellow & Physician, Department of Neurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia; drben84@gmail.com

Publication history
Received 27 Jul 2019
Revised 22 Feb 2020
Accepted 06 Mar 2020
Published online 22 Mar 2020
Published in print 04 Apr 2020

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Pubmed Style

Sim BNH, Lingam GDR, Matthew SW, Puvanarajah SD. Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter. EJMCR. 2020; 4(3): 97-99. doi:10.24911/ejmcr/173-1564208470


Web Style

Sim BNH, Lingam GDR, Matthew SW, Puvanarajah SD. Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter. https://www.ejmcr.com/?mno=58785 [Access: June 03, 2020]. doi:10.24911/ejmcr/173-1564208470


AMA (American Medical Association) Style

Sim BNH, Lingam GDR, Matthew SW, Puvanarajah SD. Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter. EJMCR. 2020; 4(3): 97-99. doi:10.24911/ejmcr/173-1564208470


Vancouver/ICMJE Style

Sim BNH, Lingam GDR, Matthew SW, Puvanarajah SD. Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter. EJMCR. (2020), [cited June 03, 2020]; 4(3): 97-99. doi:10.24911/ejmcr/173-1564208470


Harvard Style

Sim, B. N. H., Lingam, . G. D. R., Matthew, . S. W. & Puvanarajah, . S. D. (2020) Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter. EJMCR, 4 (3), 97-99. doi:10.24911/ejmcr/173-1564208470


Turabian Style

Sim, Benjamin Ng Han, Ganeshwara Durai Raja Lingam, Susan Wendy Matthew, and Santhi Datuk Puvanarajah. 2020. Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter. European Journal of Medical Case Reports, 4 (3), 97-99. doi:10.24911/ejmcr/173-1564208470


Chicago Style

Sim, Benjamin Ng Han, Ganeshwara Durai Raja Lingam, Susan Wendy Matthew, and Santhi Datuk Puvanarajah. "Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter." European Journal of Medical Case Reports 4 (2020), 97-99. doi:10.24911/ejmcr/173-1564208470


MLA (The Modern Language Association) Style

Sim, Benjamin Ng Han, Ganeshwara Durai Raja Lingam, Susan Wendy Matthew, and Santhi Datuk Puvanarajah. "Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter." European Journal of Medical Case Reports 4.3 (2020), 97-99. Print. doi:10.24911/ejmcr/173-1564208470


APA (American Psychological Association) Style

Sim, B. N. H., Lingam, . G. D. R., Matthew, . S. W. & Puvanarajah, . S. D. (2020) Transient ischemic attack and ischemic upper limb in a case of subclavian artery pseudoaneurysm due to complicated clavicular bone fracture, a rare encounter. European Journal of Medical Case Reports, 4 (3), 97-99. doi:10.24911/ejmcr/173-1564208470


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