Recurrent middle cerebral artery stroke caused by arterial thoracic outlet syndrome and coagulopathy

Aghamiri, Seyed Hossein; Assarzadegan, Farhad; Ghaffari, Mostafa; Khorasani, Negar Mohammadi; Lima, Behnam Safarpour; Sepehrirad, Atefe; Azimi, Behzad; Delkash, Parisa

doi:10.1016/j.radcr.2022.02.072

Cited by 6 publications

(14 citation statements)

References 12 publications

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Section: Introductionmentioning

confidence: 99%

“…Thoracic outlet syndrome refers to a group of disorders caused by the compression of neurovascular structures passing through the thoracic outlet [1] , [2] , [3] . The brachial plexus, subclavian artery, and subclavian vein pass through thoracic outlet [1] , and when these structures are compressed by any entity, they can cause symptoms in the upper extremity [4] . The thoracic outlet is formed by the bones of the sternum anteriorly, the first ribs laterally, and the vertebrae posteriorly [1] , and is supplemented by the clavicle, forming its superior margin [1] .…”

Section: Introductionmentioning

confidence: 99%

“…The brachial plexus, subclavian artery, and subclavian vein pass through thoracic outlet [1] , and when these structures are compressed by any entity, they can cause symptoms in the upper extremity [4] . The thoracic outlet is formed by the bones of the sternum anteriorly, the first ribs laterally, and the vertebrae posteriorly [1] , and is supplemented by the clavicle, forming its superior margin [1] . Thoracic outlet syndrome is categorized into 3 types based on its etiology: neurogenic, venous, and arterial forms [ 1 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Arterial thoracic outlet syndrome by a commonly overlooked anomaly, the cervical rib: A case report

Farzam,

Barakzai,

Foladi

2023

Radiology Case Reports

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Arterial thoracic outlet syndrome by a commonly overlooked anomaly, the cervical rib: A case report

Farzam,

Barakzai,

Foladi

2023

Radiology Case Reports

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“…Arterial TOS is frequently associated with a cervical rib, which occurs in 1% of the population and is rarely symptomatic. Acute ischemic stroke (AIS) has been reported in more than 30 individuals with arterial TOS [ 7 ] and is a rare cause of stroke in children [ 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. We present a 15-year-old girl with AIS due to TOS, complicated by subclavian artery thrombosis and subsequent embolism, whose stroke was treated with intravenous thrombolysis and mechanical thrombectomy.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Stroke due to Thoracic Outlet Syndrome Treated with Thrombolysis and Thrombectomy: A Case Report

et al. 2022

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Thoracic outlet syndrome (TOS) is a condition that results from the compression of neurovascular structures as they exit the thorax. Arterial ischemic stroke can occur in TOS due to retrograde embolism from the subclavian artery. We describe a 15-year-old girl who presented with left hemiplegia after 2 weeks of right arm numbness and tingling. Imaging showed an acute ischemic stroke due to a right middle cerebral artery occlusion. She was treated with intravenous tissue plasminogen activator at 1.3 h and mechanical thrombectomy at 2.4 h with successful recanalization. Review of her neck computed tomography angiogram suggested a right subclavian artery aneurysm, and upper-extremity imaging also demonstrated distal thrombosis and fusion of right first and second ribs, which was consistent with thoracic outlet syndrome. Three days later, she underwent a right subclavian artery aneurysm repair, right brachial and ulnar artery thrombectomy, and first rib resection. Three months later, she demonstrated good neurologic recovery. TOS is an uncommon cause of stroke in children, which may be heralded by upper-extremity symptoms. Interventionalists should be aware of the possibility of vascular anomalies in children; however, this finding does not exclude the possibility of acute stroke intervention.

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“…It is a group of diseases that cause brain tissue damage, due to sudden rupture of cerebral blood vessels or blockage of blood vessels, including ischemic and hemorrhagic stroke. Most patients with cerebral apoplexy are over 40 years old, and more are men than women, which may cause death in severe cases [ 1 ]. According to the results of China’s population census in 2021 [ 2 ], compared with stroke patients in 2010, the 10-year growth rate of CVA patients in China is 5.38%, accounting for 22.33% of the total national deaths and ranking third among all causes of death.…”

Section: Introductionmentioning

confidence: 99%

A Review of Rehabilitation Benefits of Exercise Training Combined with Nutrition Supplement for Improving Protein Synthesis and Skeletal Muscle Strength in Patients with Cerebral Stroke

Liu

et al. 2022

Nutrients

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Cerebral vascular accident (CVA) is one of the main causes of chronic disability, and it affects the function of daily life, so it is increasingly important to actively rehabilitate patients’ physical functions. The research confirmed that the nutrition supplement strategy is helpful to improve the effect of sports rehabilitation adaptation and sports performance. The patients with chronic strokes (whose strokes occur for more than 6 months) have special nutritional needs while actively carrying out rehabilitation exercises, but there are still few studies to discuss at present. Therefore, this paper will take exercise rehabilitation to promote muscle strength and improve muscle protein synthesis as the main axis and, through integrating existing scientific evidence, discuss the special needs of chronic stroke patients in rehabilitation exercise intervention and nutrition supplement one by one. At the same time, we further evaluated the physiological mechanism of nutrition intervention to promote training adaptation and compared the effects of various nutrition supplement strategies on stroke rehabilitation. Literature review pointed out that immediately supplementing protein nutrition (such as whey protein or soybean protein) after resistance exercise or endurance exercise can promote the efficiency of muscle protein synthesis and produce additive benefits, thereby improving the quality of muscle tissue. Recent animal research results show that probiotics can prevent the risk factors of neural function degradation and promote the benefits of sports rehabilitation. At the same time, natural polyphenols (such as catechin or resveratrol) or vitamins can also reduce the oxidative stress injury caused by animal stroke and promote the proliferation of neural tissue. In view of the fact that animal research results still make up the majority of issues related to the role of nutrition supplements in promoting nerve repair and protection, and the true benefits still need to be confirmed by subsequent human studies. This paper suggests that the future research direction should be the supplement of natural antioxidants, probiotics, compound nutritional supplements, and integrated human clinical research.

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Recurrent middle cerebral artery stroke caused by arterial thoracic outlet syndrome and coagulopathy

Cited by 6 publications

References 12 publications

Arterial thoracic outlet syndrome by a commonly overlooked anomaly, the cervical rib: A case report

Arterial thoracic outlet syndrome by a commonly overlooked anomaly, the cervical rib: A case report

Pediatric Stroke due to Thoracic Outlet Syndrome Treated with Thrombolysis and Thrombectomy: A Case Report

A Review of Rehabilitation Benefits of Exercise Training Combined with Nutrition Supplement for Improving Protein Synthesis and Skeletal Muscle Strength in Patients with Cerebral Stroke

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