Case Report
Volume: 4 | Issue: 3 | Published: Mar 22, 2020 | Pages: 97 - 99 | DOI: 10.24911/ejmcr/173-1564208470
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
Article Info
Authors
Benjamin Ng Han Sim
Neurology Department, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
Ganeshwara Durai Raja Lingam
Radiology Department, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
Susan Wendy Matthew
Surgical Department, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
Santhi Datuk Puvanarajah
Neurology Department, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
Publication History
Received: July 27, 2019
Revised: February 22, 2020
Accepted: March 06, 2020
Published: March 22, 2020
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, green
