Pemberton's maneuver - a clinical test for latent superior vena cava syndrome caused by a substernal mass.
A 62-year-old white male presented with facial erythema and jugular vein distension in upright position which progressed to cyanosis and facial edema while keeping both arms elevated (Pemberton sign). A CT scan revealed a large substernal goiter as the cause of superior vena cava syndrome. Symptoms and signs disappeared after thyroid surgery. First reported in 1946 Pemberton's maneuver is a useful but unrecognized clinical sign for oligosymptomatic superior vena cava syndrome caused by a substernal mass.
Anders
H
H
Medizinische Poliklinik, Klinikum Innenstadt, Ludwig-Maximilians-University Munich, Pettenkoferstr. 8a, Munich, D-80336 Germany.
Keller
C
C
D004890:Erythema / Q000209:etiology*; D005145:Face / Q000098:blood supply*; D006045:Goiter, Substernal / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging; D008875:Middle Aged; D010808:Physical Examination; D011312:Pressure; D013479:Superior Vena Cava Syndrome / Q000175:diagnosis* / Q000209:etiology; D014057:Tomography, X-Ray Computed