Subclavian artery dissection and triple infarction of the nervous system.
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.


METHODS
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.


CONCLUSIONS
Subclavian artery dissections should be suspected in patients with intrascapular pain, occipital or cervical pain, and symptoms within the posterior circulation.
Garewal
Mandeep
M
Department of Neurology, Souers Stroke Institute, Saint Louis University, St Louis, MO 63110, USA. garewalm@slu.edu
Selhorst
John B
JB
D020520:Brain Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D010243:Paralysis / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D011128:Polyradiculopathy / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D020127:Recovery of Function; D020069:Shoulder Pain / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D020760:Spinal Cord Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D013349:Subclavian Steal Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed