Ann Rehabil Med.  2011 Jun;35(3):441-444. 10.5535/arm.2011.35.3.441.

Deep Vein Thrombosis Associated with May-Thurner Syndrome in an Amyotrophic Lateral Sclerosis Patient: A Case Report

• Kim DK
• Koo JH
• Song SH
• Lee JH

• KMID: 2266867
• DOI: http://doi.org/10.5535/arm.2011.35.3.441

Abstract

There have been a few reports on deep vein thrombosis (DVT) associated with compression of the left common iliac vein by the right common iliac artery, referred to as May-Thurner syndrome (MTS). However, there have been no reports on DVT associated with MTS in amyotrophic lateral sclerosis (ALS) patients exhibiting similar clinical features to paraplegic spinal cord injury patients. We hereby report a case of DVT associated with MTS in an ALS patient, who was treated successfully.

Keyword

Deep vein thrombosis; May-Thurner syndrome; Amyotrophic lateral sclerosis

MeSH Terms

Amyotrophic Lateral Sclerosis
Humans
Iliac Artery
Iliac Vein
May-Thurner Syndrome
Spinal Cord Injuries
Venous Thrombosis

Figure

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  Fig. 1 CT scan showed deep vein thrombosis in left common iliac vein (A: white arrow), popliteal vein (B: white arrow head), and leg swelling (B: white arrows).

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  Fig. 2 Inferior vena cava filter was inserted in a supine position (A: white arrow). In a prone postion, venography showed left common iliac vein compressed by right common iliac artery (B: white arrow), suggesting MTS, and stent was inserted at stenotic portion (C: white arrows). Following that, balloon angioplasty was performed (D: white arrows).

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  Fig. 3 Follow-up venography showed that blood flow was restored the day after intervention (A, B: white arrows).

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