{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:32:15Z","timestamp":1777516335790,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Child Neurology Open"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Arterial thoracic outlet syndrome is a rare condition characterized by compression of the subclavian artery, often with post-stenotic aneurysm formation. Artery-to-artery embolic strokes related to thoracic outlet syndrome have been reported in the posterior circulation and in the ipsilateral anterior circulation. We present a case in which a thrombus secondary to thoracic outlet syndrome caused a contralateral anterior circulation stroke in an adolescent and postulate mechanisms of this rare occurrence. This case demonstrates that a subclavian thrombus due to thoracic outlet syndrome can take a circuitous path and cause an anterior circulation stroke contralateral to the diseased subclavian artery. In addition, this case illustrates the importance of a high index of suspicion for thoracic outlet syndrome in patients with stroke and associated arm pain or discoloration.<\/jats:p>","DOI":"10.1177\/2329048x221105743","type":"journal-article","created":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T01:50:23Z","timestamp":1654653023000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Stroke Caused by Arterial Thoracic Outlet Syndrome in an Adolescent"],"prefix":"10.1177","volume":"9","author":[{"given":"Lindsay","family":"Schleifer","sequence":"first","affiliation":[{"name":"Division of Pediatric Neurology, Department of Neurology, The Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2665-9044","authenticated-orcid":false,"given":"Sarah","family":"Vogel","sequence":"additional","affiliation":[{"name":"University of Maryland Medical School, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anirudh","family":"Arun","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying Wei","family":"Lum","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hematology, Department of Pediatrics, The Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferdinand","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4948-0415","authenticated-orcid":false,"given":"Lisa R.","family":"Sun","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurology, Department of Neurology, The Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"key":"bibr1-2329048X221105743","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.11.039"},{"key":"bibr2-2329048X221105743","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181ad539f"},{"key":"bibr3-2329048X221105743","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2014.12.008"},{"key":"bibr4-2329048X221105743","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-020-01797-y"},{"key":"bibr5-2329048X221105743","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2013.07.030"},{"key":"bibr6-2329048X221105743","doi-asserted-by":"publisher","DOI":"10.1097\/NRL.0b013e31826754a9"},{"key":"bibr7-2329048X221105743","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.68691"}],"container-title":["Child Neurology Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2329048X221105743","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2329048X221105743","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2329048X221105743","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:58:18Z","timestamp":1777391898000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2329048X221105743"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":7,"alternative-id":["10.1177\/2329048X221105743"],"URL":"https:\/\/doi.org\/10.1177\/2329048x221105743","relation":{},"ISSN":["2329-048X","2329-048X"],"issn-type":[{"value":"2329-048X","type":"print"},{"value":"2329-048X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"2329048X221105743"}}