{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:43:03Z","timestamp":1760244183469,"version":"build-2065373602"},"reference-count":10,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T00:00:00Z","timestamp":1667952000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Posterior sternoclavicular joint dislocation is a rare injury requiring prompt diagnosis as it has been associated with the compression of the subclavian and brachiocephalic arteries. We report the case of a 27-year-old male presenting with altered mental status and left hemiparesis found to have life-altering neurologic damage caused by severe orthopedic injury after a fall while intoxicated. Imaging revealed a posteriorly displaced right medial clavicle with surrounding hematoma compressing the brachiocephalic artery causing local thrombus formation and distal embolization, ultimately resulting in malignant cerebral infarction. His hospital course was complicated by cerebral edema requiring decompressive craniectomy, hemorrhagic transformations, brachiocephalic pseudoaneurysm, and the development of remote embolic ischemic infarctions.<\/jats:p>","DOI":"10.3390\/life12111836","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T02:01:45Z","timestamp":1668045705000},"page":"1836","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Ischemic Stroke with Devastating Consequences Can Occur Due to Posterior Sternoclavicular Joint Dislocation"],"prefix":"10.3390","volume":"12","author":[{"given":"Dana","family":"Ghazaleh","sequence":"first","affiliation":[{"name":"Department of Neurology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apameh","family":"Salari","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Minnesota, 516 Delaware St SE, Minneapolis, MN 55455, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leighton","family":"Mohl","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Minnesota, 516 Delaware St SE, Minneapolis, MN 55455, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madisen","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Minnesota, 516 Delaware St SE, Minneapolis, MN 55455, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Brown","sequence":"additional","affiliation":[{"name":"VA Medical Center, 1 Veterans Drive, Minneapolis, MN 55417, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malik","family":"Ghannam","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"244","DOI":"10.5312\/wjo.v7.i4.244","article-title":"Sternoclavicular joint dislocation and its management: A review of the literature","volume":"7","author":"Morell","year":"2016","journal-title":"World J. Orthop."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"809","DOI":"10.2214\/ajr.146.4.809","article-title":"Thoracic outlet syndrome: Review and reference to stroke in a major league pitcher","volume":"146","author":"Fields","year":"1986","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/036354657800600201","article-title":"Thoracic outlet compression in athletes a report of four cases","volume":"6","author":"Strukel","year":"1978","journal-title":"Am. J. Sports Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/1749-7922-3-25","article-title":"Delayed presentation of Subclavian venous thrombosis following undisplaced clavicle fracture","volume":"3","author":"Kochhar","year":"2008","journal-title":"World J. Emerg. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.1136\/bjsm.2004.014852","article-title":"Posterior sternoclavicular dislocation in a rugby player as a cause of silent vascular compromise: A case report","volume":"39","author":"Mirza","year":"2005","journal-title":"Br. J. Sport. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e1542-7","DOI":"10.3928\/01477447-20120919-27","article-title":"Posterior Sternoclavicular Dislocation Presenting with Upper-extremity Deep Vein Thrombosis","volume":"35","author":"Chotai","year":"2012","journal-title":"Orthopedics"},{"key":"ref_7","first-page":"95","article-title":"A case of spreading obliterative arteritis","volume":"17","author":"Gould","year":"1884","journal-title":"Trans. Clin. Soc. Lond."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Jusufovic, M., Sandset, E.C., Popperud, T.H., Solberg, S., Ringstad, G., and Kerty, E. (2012). An unusual case of the syndrome of cervical rib with subclavian artery thrombosis and cerebellar and cerebral infarctions. BMC Neurol., 12.","DOI":"10.1186\/1471-2377-12-48"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1016\/S0140-6736(79)92443-7","article-title":"Retrograde Cerebral Embolism","volume":"314","author":"Prior","year":"1979","journal-title":"Lancet"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"355","DOI":"10.2176\/nmc.48.355","article-title":"Acute Basilar Artery Occlusion in a Patient with Left Subclavian Artery Occlusion Due to First Rib Anomaly -Case Report-","volume":"48","author":"Yamaguchi","year":"2008","journal-title":"Neurol. Med.-Chir."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/12\/11\/1836\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:13:18Z","timestamp":1760145198000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/12\/11\/1836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,9]]},"references-count":10,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["life12111836"],"URL":"https:\/\/doi.org\/10.3390\/life12111836","relation":{},"ISSN":["2075-1729"],"issn-type":[{"type":"electronic","value":"2075-1729"}],"subject":[],"published":{"date-parts":[[2022,11,9]]}}}