Paget Schroetter Sendromu ve Refleks Sempatik Distrofi

Paget Schroetter Syndrome (PSS) is a rare syndrome characterized by thrombosis of the upper limb veins, and is usually seen in young individuals. Reflex sympathetic dystrophy (RSD) is a condition characterized by pain, swelling and autonomic dysfunction in the extremities. We report a case who was referred to the neurology clinic with the diagnosis of stroke because of the complaint of left arm weakness, and diagnosed as PSS and RSD subsequently. A 20-year-old man who was referred to our neurology clinic from another hospital with the diagnosis of stroke because of the complaint of sudden left arm weakness was admitted to the neurology clinic. He couldn"t remove his left arm because of the pain in his first examination. Neurologic examination, nerve conduction studies and brain MRI revealed no abnormality. Since the swelling and bruising developed on his left upper extremity, the patient was transferred to the cardiovascular surgery department with the diagnosis of upper extremity deep vein thrombosis. Axillary vein thrombosis was detected by Doppler ultrasound examination. The patient was diagnosed as RSD as a result of Physical Medicine and Rehabilitation consultation. Thrombolytic therapy was administered and he was discharged to come follow-up examination. PSS ve RSD may produce similar clinical manifestations. Comorbidity of these disorders is very rare. The relationship between them has not been put forth exactly. It should be considered that RSD may develop after upper extremity venous thrombosis, and vascular pathologies should be kept in mind besides neurological diseases in the differential diagnosis of patients with limb weakness.