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[Transient ischemic attacks in a patient with superior vena cava obstruction: case report]
A S Andrade-Filho1, F S Figueirôa, C L Santiago-Figueirôa
1Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade Federal da Bahia (FM/UFBA), Hospital Santa Isabel, Salvador BA, Brasil.
Arquivos De Neuro-Psiquiatria
|October 1, 1998
Summary
Superior vena cava obstruction, a rare condition, was identified in a hypertensive patient with coronary artery disease. Treatment of the venous obstruction improved neurological symptoms, suggesting a potential link.
Area of Science:
- Cardiology
- Neurology
- Vascular Medicine
Background:
- A 42-year-old male with a 15-year history of hypertension presented with persistent cervical and thoracic pain.
- The patient had a 95% occlusion of the right coronary artery, treated with angioplasty, but thoracic pain persisted.
Observation:
- Recurrent episodes of right hemiplegia and hypertensive emergencies occurred, alongside facial cyanosis during transient ischemic attacks.
- Venography revealed obstruction of the right jugular vein near its junction with the superior vena cava.
Findings:
- The exact relationship between coronary artery disease and superior vena cava obstruction remains uncertain.
- Neurological symptoms showed improvement following management of the superior vena cava obstruction.
Implications:
- This case highlights the importance of considering venous obstruction in patients with complex cardiovascular and neurological presentations.
- Effective management of superior vena cava obstruction may lead to amelioration of associated neurological deficits.