Cortical Hand Knob Paradoxical Thromboembolic Stroke in an Adolescent with Secundum Atrial Septal Defect and Paget-Schroetter Syndrome

M. Parfyonov, Danielle Porritt, Dakota Peacock, Ryan Dragoman, James Lee
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Abstract

Venous thoracic outlet syndrome (vTOS) is an increasingly recognized diagnosis in young patients in which the subclavian vein is compressed within the costoclavicular space. With repetitive compression, thrombosis can develop and has been referred to as “effort thrombosis” or the Paget-Schroetter syndrome. Here, we present a 16-year-old boy with vTOS who presented with acute ischemic stroke (AIS) in the hand knob region of precentral gyrus due to paradoxical embolus in the setting of atrial septal defect.
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患有房间隔缺损和帕吉特-施罗特综合征的青少年皮质手钮悖论性血栓栓塞性中风
静脉胸廓出口综合征(vTOS)是越来越多年轻患者被诊断为锁骨下静脉受压于肋锁骨间隙的一种疾病。反复压迫可导致血栓形成,被称为 "努力血栓形成 "或帕吉特-施罗特综合征。在此,我们介绍一名患有 vTOS 的 16 岁男孩,他因房间隔缺损引起的矛盾性栓塞而导致手部旋钮区前中央回急性缺血性卒中(AIS)。
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