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
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
Authors
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
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
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: April 26, 2024]. doi:
10.24911/ejmcr/173-1564208470
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
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 April 26, 2024]; 4(3): 97-99. doi:
10.24911/ejmcr/173-1564208470
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
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
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
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
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