title: Simultaneous event of brachial artery occlusion and acute embolic stroke.
abstract: Although the rapid and accurate diagnosis of both acute ischemic stroke and extremity ischemia is essential to the timely and appropriate treatment, it is not always easy to differentiate between true stroke and stroke mimics. Although in general, limb ischemia due to extremity embolism is not included in stroke mimics or misdiagnosis, limb arterial embolism should be considered in thedifferential diagnosis of acute monoparesis because the diagnosis maybe missed if the other typical manifestations of this presentation(pain, pallor, pulselessness, sensory loss, and coolness of the arm) are overlooked. Therefore, it is important to ensure that important signsare not missed whether the evaluation of the patient is done at thebedside. We report a case of a male patient presented to an emergency department with acute right upper extremity pain with headache, gait disturbance, and confused mentality. He was diagnosed by simultaneou sbrachial artery occlusion and acute stroke, which resulted in emergency surgical embolectomy and anticoagulation therapy.
authors.affiliation: Department of Emergency Medicine, Gyeongsang National University Hospital, Jinju, Gyeongsangnam-do, Republic of Korea. Electronic address: ssoon0702@naver.com.
authors.forename: Soo Hoon
authors.initials: SH
authors.lastname: Lee
authors.affiliation: Department of Neurology, Gyeongsang National University Hospital, Jinju, Gyeongsangnam-do, Republic of Korea.
authors.forename: Nack-Cheon
authors.initials: NC
authors.lastname: Choi
authors.affiliation: Department of Thoracic Cardiovascular Surgery, Gyeongsang National University Hospital, Jinju, Gyeongsangnam-do, Republic of Korea.
authors.forename: In Seok
authors.initials: IS
authors.lastname: Jang
authors.affiliation: Department of Emergency Medicine, Gyeongsang National University Hospital, Jinju, Gyeongsangnam-do, Republic of Korea.
authors.forename: Tae-Sin
authors.initials: TS
authors.lastname: Kang
authors.affiliation: Department of Emergency Medicine, Gyeongsang National University Hospital, Jinju, Gyeongsangnam-do, Republic of Korea.
authors.forename: Changwoo
authors.initials: C
authors.lastname: Kang
authors.affiliation: Department of Emergency Medicine, Gyeongsang National University Hospital, Jinju, Gyeongsangnam-do, Republic of Korea.
authors.forename: Jin Hee
authors.initials: JH
authors.lastname: Jeong
authors.affiliation: Department of Emergency Medicine, Gyeongsang National University Hospital, Jinju, Gyeongsangnam-do, Republic of Korea.
authors.forename: Dong Seob
authors.initials: DS
authors.lastname: Kim
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications*; D001916:Brachial Artery; D004617:Embolism / Q000150:complications*; D006801:Humans; D008297:Male; D058729:Peripheral Arterial Disease / Q000150:complications*; D020521:Stroke / Q000209:etiology*