Thromboembolic Stroke Caused by Arterial Thoracic Outlet Syndrome

Lee, Moses; Kim, Hyokee; Oh, Kyungmi; Han, Jung Hoon; Lee, Kyubong; Kim, Chi Kyung; Lee, Keon-Joo

doi:2025.43.4.289

J Korean Neurol Assoc > Volume 43(4); 2025 > Article

Case Report

Journal of the Korean Neurological Association 2025;43(4): 289-292. doi: https://doi.org/10.17340/jkna.2025.0011

동맥성흉곽출구증후군으로 인해 발생한 혈전색전뇌졸중

이모세¹, 김효기², 오경미¹, 한정훈¹, 이규봉¹, 김치경¹, 이건주¹

¹고려대학교 의과대학 고려대학교구로병원 신경과
²고려대학교 의과대학 고려대학교구로병원 혈관외과

Thromboembolic Stroke Caused by Arterial Thoracic Outlet Syndrome

Moses Lee MD¹, Hyokee Kim MD², Kyungmi Oh MD, PhD¹, Jung Hoon Han MD¹, Kyubong Lee MD¹, Chi Kyung Kim MD, PhD¹, Keon-Joo Lee MD, PhD¹

¹Department of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
²Department of Vascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea

Corresponding Author: Keon-Joo Lee ,Tel: +82-2-2626-1250, Fax: +82-2-2626-2249, Email: gooday19@gmail.com

Received: April 3, 2025 Revised: May 7, 2025 Accepted: May 26, 2025 Published online: November 1, 2025

Abstract

Arterial thoracic outlet syndrome occurs when the subclavian artery is compressed due to anatomical abnormalities of the thoracic outlet. This condition can promote the formation of aneurysms and thrombi within the vessel, which, although rare, can lead to retrograde thromboembolic stroke. Diagnosing and treating arterial thoracic outlet syndrome in young patients without risk factors who develop ischemic stroke can reduce recurrence. We present the case about thromboembolic stroke related arterial thoracic syndrome, which is the second domestic report.

Key Words: Ischemic stroke | Thoracic outlet syndrome | Thromboembolism