Bilateral subclavian steal syndrome with vertigo

Yamanaka, Toshiaki; Sawai, Yachiyo; Hosoi, Hiroshi

doi:10.1016/j.anl.2013.08.004

Cited by 7 publications

(2 citation statements)

References 14 publications

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“…Certain vascular lesions can cause bilateral SSS, such as polyarteritis and radiation arteritis[ 5 ], but they are sporadic. Yamanaka et al [ 6 ] once reported the case of a female patient with bilateral subclavian artery occlusion due to multiple arteries. The patient presented with severe dizziness, but the blood pressure was in the normal range and showed no significant difference.…”

Section: Discussionmentioning

confidence: 99%

Subclavian steal syndrome associated with Sjogren's syndrome: A case report

Hao¹,

Zhang²,

Naveed³

et al. 2021

WJCC

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BACKGROUND Subclavian steal syndrome (SSS) caused by Sjogren's syndrome is rare, especially for elderly patients with risk factors for atherosclerosis. The current report presents the uncommon etiology and treatment of SSS, aiming to improve doctor’s clinical experience. CASE SUMMARY A 69-year-old man was diagnosed with hypertension and acute cerebral infarction presenting with left upper limb weakness and pain even gradually aggravating to left limb hemiplegia 30 years ago. He was managed with antihypertensive and antithrombotic therapy; however, his condition was recurrent, and he never had any further examination. It was found that the difference of the bilateral upper arm systolic pressure was over 20 mmHg, and Doppler examination showed that the blood flow of the left vertebral artery was reversed, suggesting SSS. Further tests revealed a benign lymphoepithelial lesion in salivary gland tissue, confirming the Sjogren's syndrome. CONCLUSION The patient was found to have hypertension when he was 33 years old, and the blood pressure of both sides was asymmetric, which was ignored. The patient's symptoms of dizziness and upper limb weakness were misdiagnosed as general cerebral infarction. It is necessary to test the aorta computed tomography angiography to prove secondary hypertension factors such as Sjogren's syndrome.

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Section: Discussionmentioning

confidence: 99%

Subclavian steal syndrome associated with Sjogren's syndrome: A case report

Hao¹,

Zhang²,

Naveed³

et al. 2021

WJCC

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“…The second component used in the study is the Doppler effect consisting in the change of the frequency of the wave reflected from the moving object in relation to the frequency of the wave being transmitted. Frequencies of 1-10 MHz are most commonly used for diagnostic purposes [24][25][26].…”

Section: Doppler Ultrasound Of the System Of The Vertebrobasilar Artementioning

confidence: 99%

Anatomical Anomalies of Carotid-Vertebral Arteries in Patients with Dizziness and Impaired Hearing

Olszewski¹,

Niewiadomski²

2018

Carotid Artery - Gender and Health [Working Title]

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Currently, Doppler ultrasound examinations are of particular importance, including continuous wave Doppler and color-coded pulsed wave Doppler. Excellent images are obtained using contrast computed tomography angiography (CTA) and magnetic resonance angiography (MRA), which give greater understanding of blood flow in the cranial and intracranial vessels under normal conditions and in pathological situations caused by both anatomical anomalies and acquired abnormalities. Our previous studies, concerning the analysis of the frequency and types of anatomical anomalies of the cranial arteries, i.e. vertebral and carotid arteries, in patients with dizziness and impaired hearing, demonstrated that hypoplasia of the right vertebral artery was the most common anatomical anomaly occurring in 58.7% of cases, of which 51.7% were women and 6.9% men; hypoplasia of the left vertebral artery, occurring in 24.7% of the study group, of which 13.8% were women and 10.3% men; hypoplasia of the right internal carotid artery found in 3.4% of women and of the left internal carotid artery in 6.8% of cases, 3.4% in women and 3.4% in men; and hypoplasia of the right common carotid artery was reported in 3.4% of men, whereas critical stenosis of the left subclavian artery with subclavian steal syndrome was observed in 3.4% of women. Although tinnitus was the most frequent symptom occurring in those patients, in this study dizziness was most common in patients admitted to the Department for the diagnosis, possibly because they found it more disturbing.

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Vertebrobasilar Insufficiency

Yamanaka¹

2014

Equilibrium Res

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Vertebrobasilar insufficiency (VBI) is caused by transient ischemia in the brainstem including the vestibular nucleus due to impaired vertebrobasilar arterial flow. The most common causes of VBI are atherosclerosis, which can block posterior circulation supplying the brain stem, and embolisms which arise from the heart and proximal vertebral and basilar arteries due to arrhythmia, as well as hemodynamic disorders associated with changes in blood pressure.VBI is frequently associated with vertigo and disequilibrium as primary symptoms accompanied by neurologic symptoms and signs involving double vision, loss of vision, gait ataxia, face and limb numbness, weakness, dysarthria and oropharyngeal dysfunction. Posterior circulation strokes may induce fluctuating symptoms and signs with time depending on which area is ischemic.It is crucial to examine the pathological condition of the vessels in the vertebrobasilar system to evaluate blood flow hemodynamics and vascular morphology in patients experiencing episodes of VBI with Doppler ultrasonography and a vascular imaging technique such as (Magnetic Resonance) MR and (Computed Tomography) CT angiography. Cerebrovascular circulation and metabolism-improving agents, antiplatelet agents, etc., are usually used to treat VBI VBI should be considered during the differential diagnosis of patients with recurrent vertigo and require an early detection. Therefore, VBI might require careful follow-up and treatment for preventing the progression of vertigo and other neurological deficits in the vertebrobasilar arterial region.

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Bilateral subclavian steal syndrome with vertigo

Cited by 7 publications

References 14 publications

Subclavian steal syndrome associated with Sjogren's syndrome: A case report

Subclavian steal syndrome associated with Sjogren's syndrome: A case report

Anatomical Anomalies of Carotid-Vertebral Arteries in Patients with Dizziness and Impaired Hearing

Vertebrobasilar Insufficiency

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