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ISSN 1561-3046 (Electronic)

2014, Number 2

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Rev Cub Med Mil 2014; 43 (2)

Syndrome of subclavian steal

Mesa BY, Hierrezuelo LDJ, Hernández RTE, Parada BY, Miranda HJL

Language: Spanish
References: 17
Page: 269-273
PDF size: 123.14 Kb.


ABSTRACT

A 46 year-old female patient with a history of hypertension and regular smoker complained of isolated and brief episodes of dizziness, postural instability, faint feeling without altered consciousness, after exercise the left arm for 2 years. Her neurological examination showed asymmetry of carotid and radial pulses. Her extracranial doppler revealed carotid atherosclerotic changes in both axes, with 50 % right stenosis, decreased flow of the proximal left vertebral artery and obstruction of the proximal left subclavian artery. Subclavian Steal Syndrome is a rare condition. Its diagnosis is clinical and it is demonstrated by Doppler or angiography. Treatment should be determined individually in each case.


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