Abstract
Background:
Subclavian artery dissection is a rare entity. It is usually associated with anomalous aortic vasculature. Only with trauma or catheterization procedures is subclavian artery dissection with normal aortic vasculature reported.
Patient:
We describe a patient with intrascapular pain, an occipital headache, and 3 distinct infarctions in the nervous system. He had spontaneous subclavian artery dissection with normal aortic vasculature.
Conclusion:
Subclavian artery dissections should be suspected in patients with intrascapular pain, occipital or cervical pain, and symptoms within the posterior circulation.
MeSH terms
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Brain Infarction / diagnostic imaging
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Brain Infarction / etiology*
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Brain Infarction / pathology
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Cerebellum / diagnostic imaging
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Cerebellum / pathology
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Cerebellum / physiopathology
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Humans
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Neck Pain / diagnostic imaging
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Neck Pain / etiology
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Neck Pain / pathology
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Paralysis / etiology
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Paralysis / pathology
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Paralysis / physiopathology
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Polyradiculopathy / etiology
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Polyradiculopathy / pathology
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Polyradiculopathy / physiopathology
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Recovery of Function
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Shoulder Pain / etiology
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Shoulder Pain / pathology
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Shoulder Pain / physiopathology
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Spinal Cord / diagnostic imaging
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Spinal Cord / pathology
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Spinal Cord / physiopathology
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Spinal Cord Ischemia / diagnostic imaging
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Spinal Cord Ischemia / etiology*
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Spinal Cord Ischemia / pathology
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Subclavian Steal Syndrome / complications*
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Subclavian Steal Syndrome / diagnostic imaging
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Subclavian Steal Syndrome / pathology
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Tomography, X-Ray Computed