Document Detail

Traumatic brachiocephalic pseudoaneurysm presenting as stroke in a seventeen-year-old.
MedLine Citation:
PMID:  19816975     Owner:  NLM     Status:  MEDLINE    
We present a 17-y-old male who presented to the emergency room with left arm weakness along with slurred speech. On physical examination, he had stable vital signs with left facial weakness suggestive of lower motor neuron seventh nerve palsy. He was also noted to have a small pulsatile mass in the right infraclavicular region. Further questioning revealed that 3 mo earlier he had suffered blunt chest wall trauma during a football game with fracture-dislocation of the right clavicular head, which was managed conservatively. MRI of the brain showed right frontal cortical changes suggestive of infarct versus vasculitis or edema. Chest CT revealed a 2.5- to 3-cm pseudoaneurysm arising from the brachiocephalic artery, with thrombus formation, along with a surrounding 3 x 4.5 cm hematoma. The patient underwent a successful repair of the pseudoaneurysm with no further neurological sequelae. Traumatic pseudoaneurysm with thrombus formation is an extremely rare cause of stroke. It has been reported in association with the carotid artery, but to our knowledge, this is the first reported case with isolated innominate artery pseudoaneurysm. This case highlights the need for a broad differential when evaluating young patients with neurological deficits.
Manreet Kanwar; Devang Desai; Mouhammed Joumaa; Vamshidhar Guduguntla
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  32     ISSN:  1932-8737     ISO Abbreviation:  Clin Cardiol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-30     Completed Date:  2010-02-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E43-5     Citation Subset:  IM    
Division of Cardiology, Department of Medicine, St. John Hospital and Medical Center, 22151 Moross Road, Suite 126 Detroit, MI 48236, USA.
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MeSH Terms
Aneurysm, False / etiology*,  radiography,  surgery
Brachiocephalic Trunk / injuries*,  radiography,  surgery
Facial Nerve Diseases / etiology
Facial Paralysis / etiology
Football / injuries*
Hematoma / etiology
Magnetic Resonance Imaging
Muscle Weakness / etiology
Speech Disorders / etiology
Stroke / etiology*,  pathology
Thoracic Injuries / complications*,  radiography,  surgery
Thrombosis / etiology
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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