Acute pontine infarction in a patient with persistent left superior vena cava

Jeong, Da-Eun; Lee, Jun; Hwang, Woosub

doi:2018.20.2.105

Ann Clin Neurophysiol > 2018 ;20(2) > Article
CASE REPORT
Ann Clin Neurophysiol. 2018; 20(2): 105-108. Published online July 31, 2018. doi: https://doi.org/10.14253/acn.2018.20.2.105

Acute pontine infarction in a patient with persistent left superior vena cava

Da-Eun Jeong¹, Jun Lee¹, and Woosub Hwang²

¹Department of Neurology and Stroke Center, Yeungnam University Medical Center, Daegu, Korea
²Department of Neruology, Daegu Fatima Hospital, Daegu, Korea

Corresponding Author: Woosub Hwang ,Tel: +82-53-940-7370, Fax: +82-53-953-7317, Email: woosubb@hanmail.net

Received June 17, 2018 Revised: July 9, 2018 Accepted July 9, 2018

ABSTRACT

Persistent left superior vena cava (PLSVC) is a common venous anomaly of the thorax and usually drains into the right atrium. Less often it drains into the left atrium and has previously been related to ischemic stroke. We report a case of PLSCV that founded during ischemic stroke evaluation in a 77-year-old woman which was detected on transesophageal echocardiography (TEE) and transcranial Doppler ultrasonography (TCD) with saline agitated test and computed tomography.

Key words: Persistent left superior vena cava; Cerebra infarction; Saline agitation test; Paradoxical embolism; Transcranial Doppler ultrasonography; Transesophageal echocardiography