Chronic brainstem ischemia in subclavian steal syndrome

被引：18

作者：

Sharma, Vijay K. ^{[1
]}

Chuah, Benjamin ^{[2
]}

Teoh, Hock L. ^{[1
]}

Chan, Bernard P. L. ^{[1
]}

Sinha, Arvind K. ^{[3
]}

Robless, Peter A. ^{[2
]}

机构：

[1] Natl Univ Singapore Hosp, Div Neurol, Singapore 119074, Singapore

[2] Natl Univ Singapore Hosp, Dept Cardiothorac & Vasc Surg, Singapore 119074, Singapore

[3] Natl Univ Singapore Hosp, Dept Diagnost Imaging, Singapore 119074, Singapore

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2010年 / 17卷 / 10期

关键词：

Brainstem ischemia; Subclavian stenosis; Transcranial Doppler; CEREBRAL BLOOD-FLOW; ARTERY; EXPERIENCE; BYPASS;

D O I：

10.1016/j.jocn.2010.03.019

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Subclavian steal syndrome is usually an incidental finding and rarely causes vertebrobasilar ischemia. We present a 58-year-old man who, over six months, experienced progressive slowing in both talking and walking. Cervical duplex sonography revealed severe stenosis of the right subclavian artery; fixed retrograde flow was noted in the right vertebral artery on transcranial Doppler. The hyperemia-ischemia cuff test resulted in considerable reduction in flow velocities in both posterior cerebral arteries. We attributed his slowness to chronic vertebrobasilar ischemia and surgical revascularization was performed. His symptoms subsided immediately after surgery. The improved perfusion in the posterior circulation was demonstrated on technetium-99 hexamethylpropyleneamine oxime single photon-emission CT. Early diagnosis and prompt treatment resulted in an improved quality of life. (C) 2010 Elsevier Ltd. All rights reserved.

引用

页码：1339 / 1341

页数：3

共 11 条

[1]

DEBRAY JM, 1994, ACTA NEUROL SCAND, V90, P174

[2]

Gosselin C, 1996, Semin Vasc Surg, V9, P93

[3]

HAFNER CD, 1976, ARCH SURG-CHICAGO, V111, P1074

[4] THE SUBCLAVIAN STEAL PHENOMENON - A COMMON VASCULAR DISORDER WITH RARE NEUROLOGIC DEFICITS [J].

HENNERICI, M ;

KLEMM, C ;

RAUTENBERG, W .

NEUROLOGY, 1988, 38 (05) :669-673

[5]

MORAN KT, 1988, AM SURGEON, V54, P643

[6] CAROTID-SUBCLAVIAN BYPASS - A DECADE OF EXPERIENCE [J].

PERLER, BA ;

WILLIAMS, GM .

JOURNAL OF VASCULAR SURGERY, 1990, 12 (06) :716-723

[7]

STERPETTI AV, 1989, SURGERY, V106, P624

[8] WHAT DETERMINES THE SYMPTOMS ASSOCIATED WITH SUBCLAVIAN ARTERY OCCLUSIVE DISEASE [J].

WALKER, PM ;

PALEY, D ;

HARRIS, KA ;

THOMPSON, A ;

JOHNSTON, KW .

JOURNAL OF VASCULAR SURGERY, 1985, 2 (01) :154-157

[9] THE EFFECT OF ARM EXERCISE ON REGIONAL CEREBRAL BLOOD-FLOW IN THE SUBCLAVIAN STEAL SYNDROME [J].

WEBSTER, MW ;

DOWNS, L ;

YONAS, H ;

MAKAROUN, MS ;

STEED, DL .

AMERICAN JOURNAL OF SURGERY, 1994, 168 (02) :91-93

[10]

WILMS G, 1995, CARDIOVASC SURG, V3, P637

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