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Subclavian artery dissection and triple infarction of the nervous system
Mandeep Garewal1, John B Selhorst
1Department of Neurology, Souers Stroke Institute, Saint Louis University, St Louis, MO 63110, USA. garewalm@slu.edu
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.
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