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Deep venous thrombosis in the spastic upper limb

E R Beck¹, K R Bell

¹University of Washington, Department of Rehabilitation Medicine, Seattle 98195, USA.

|May 1, 1995

Summary

Deep venous thrombosis (DVT) in a spastic upper extremity is a rare condition, often overlooked in patients with traumatic brain injury. This case report highlights the unique challenges in diagnosing and managing this specific type of DVT.

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Area of Science:

Neurology
Vascular Medicine
Rehabilitation Medicine

Background:

Deep venous thrombosis (DVT) of the lower extremity is common in rehabilitation patients.
Upper extremity DVT (UE DVT) is less common, with various known causes.
No prior reports exist of UE DVT in a spastic extremity.

Observation:

A case of UE DVT in a spastic limb secondary to traumatic brain injury (TBI) is presented.
The patient's spasticity contributed to the unusual presentation of UE DVT.
This case highlights a novel association between TBI-induced spasticity and UE DVT.

Findings:

The study details the etiology, diagnosis, and management of UE DVT in a spastic limb.
Diagnostic challenges associated with UE DVT in spastic extremities are discussed.
Effective management strategies for this specific patient population are explored.

Implications:

This report expands the understanding of UE DVT etiology.
It suggests considering UE DVT in TBI patients with unexplained limb swelling or pain.
Further research into the pathophysiology and treatment of DVT in spastic limbs is warranted.

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