Spontaneous subclavian artery dissection: a pain in the neck diagnosis

BMJ Case Rep. 2013 Nov 21;2013:bcr2013201223. doi: 10.1136/bcr-2013-201223.


Isolated subclavian artery dissection is a very rare condition in the absence of trauma or procedures. A 36-year-old woman with a history significant for uncontrolled hypertension presented with a sudden onset of left shoulder and neck pain that woke the patient from sleep. A CT angiogram of the chest revealed a left subclavian artery dissection. The patient was admitted to the hospital for blood pressure control.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, Dissecting / complications
  • Aneurysm, Dissecting / diagnosis*
  • Aneurysm, Dissecting / diagnostic imaging
  • Diagnosis, Differential
  • Female
  • Humans
  • Neck Pain / etiology*
  • Shoulder Pain / etiology
  • Subclavian Artery* / diagnostic imaging
  • Tomography, X-Ray Computed