Acute thrombotic occlusion of subclavian artery presenting as a stroke mimic
Abstract It has been well established and widely accepted that thrombolysis using recombinant tissue plasminogen activator (rTPA) is strongly beneficial for acute stroke patients. The sensitivity of brain tissue to ischemia causes this time dependence of the effectiveness of rTPA. Early recognition...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-10-01
|
| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12085 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849315614645026816 |
|---|---|
| author | Ankur Verma Sanjay Jaiswal Wasil Rasool Sheikh |
| author_facet | Ankur Verma Sanjay Jaiswal Wasil Rasool Sheikh |
| author_sort | Ankur Verma |
| collection | DOAJ |
| description | Abstract It has been well established and widely accepted that thrombolysis using recombinant tissue plasminogen activator (rTPA) is strongly beneficial for acute stroke patients. The sensitivity of brain tissue to ischemia causes this time dependence of the effectiveness of rTPA. Early recognition and management of a stroke is imperative for positive outcomes in such patients. Clinical assessment warrants immediate treatment for patients with suspected stroke. As emergency physicians, an awareness of stroke mimics who might undergo unwarranted investigations and thrombolysis is important. We present a case of an elderly female who presented with sudden onset of left upper limb weakness, was thrombolysed and was subsequently diagnosed with subclavian artery thrombotic occlusion. Acute limb ischemia is a rare cause of a stroke mimic. It would be prudent for emergency physicians to be aware regarding the same, especially in patients presenting with monoplegia. |
| format | Article |
| id | doaj-art-9b72226e066148009e15f04eac8b4607 |
| institution | Kabale University |
| issn | 2688-1152 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-9b72226e066148009e15f04eac8b46072025-08-20T03:52:06ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522020-10-011593293410.1002/emp2.12085Acute thrombotic occlusion of subclavian artery presenting as a stroke mimicAnkur Verma0Sanjay Jaiswal1Wasil Rasool Sheikh2Department of Emergency Medicine Max Super Specialty Hospital Patparganj New Delhi IndiaDepartment of Emergency Medicine Max Super Specialty Hospital Patparganj New Delhi IndiaDepartment of Emergency Medicine Max Super Specialty Hospital Patparganj New Delhi IndiaAbstract It has been well established and widely accepted that thrombolysis using recombinant tissue plasminogen activator (rTPA) is strongly beneficial for acute stroke patients. The sensitivity of brain tissue to ischemia causes this time dependence of the effectiveness of rTPA. Early recognition and management of a stroke is imperative for positive outcomes in such patients. Clinical assessment warrants immediate treatment for patients with suspected stroke. As emergency physicians, an awareness of stroke mimics who might undergo unwarranted investigations and thrombolysis is important. We present a case of an elderly female who presented with sudden onset of left upper limb weakness, was thrombolysed and was subsequently diagnosed with subclavian artery thrombotic occlusion. Acute limb ischemia is a rare cause of a stroke mimic. It would be prudent for emergency physicians to be aware regarding the same, especially in patients presenting with monoplegia.https://doi.org/10.1002/emp2.12085Dopplerthrombectomythrombosisthrombolysisstrokestroke mimics |
| spellingShingle | Ankur Verma Sanjay Jaiswal Wasil Rasool Sheikh Acute thrombotic occlusion of subclavian artery presenting as a stroke mimic Journal of the American College of Emergency Physicians Open Doppler thrombectomy thrombosis thrombolysis stroke stroke mimics |
| title | Acute thrombotic occlusion of subclavian artery presenting as a stroke mimic |
| title_full | Acute thrombotic occlusion of subclavian artery presenting as a stroke mimic |
| title_fullStr | Acute thrombotic occlusion of subclavian artery presenting as a stroke mimic |
| title_full_unstemmed | Acute thrombotic occlusion of subclavian artery presenting as a stroke mimic |
| title_short | Acute thrombotic occlusion of subclavian artery presenting as a stroke mimic |
| title_sort | acute thrombotic occlusion of subclavian artery presenting as a stroke mimic |
| topic | Doppler thrombectomy thrombosis thrombolysis stroke stroke mimics |
| url | https://doi.org/10.1002/emp2.12085 |
| work_keys_str_mv | AT ankurverma acutethromboticocclusionofsubclavianarterypresentingasastrokemimic AT sanjayjaiswal acutethromboticocclusionofsubclavianarterypresentingasastrokemimic AT wasilrasoolsheikh acutethromboticocclusionofsubclavianarterypresentingasastrokemimic |