Prominent Somnolence and Cerebellar Syndrome in Subclavian Artery Thrombosis -- A Case Report

Goleman, Luis; Berginer, Vladimir M.; Szendro, Gabriel; Hoda, Jelinus; Louson, Zeev
December 1987
Angiology;Dec1987, Vol. 38 Issue 12, p912
Academic Journal
A patient suffering from acute left subclavian artery thrombosis presented with an unusual syndrome of prominent somnolence, right cerebellar signs, and left upper extremity ischemia. Clinical, angiologic, and electrophysiologic studies confirmed a brain stem and reticular formation dysfunction due to vertebrobasilar ischemia. Urgent thromboembolectomy led to neurologic improvement and satisfactory revascuiarization of the involved upper limb.


Related Articles

  • Spontaneous left subclavian artery dissection with concurrent thrombosis and embolic occlusion of the lower limbs: Report of a case. NAKAMURA, KUNIHIDE; NAKAMURA, EISAKU; MATSUYAMA, MASAKAZU; NIINA, KATSUHIKO; ISHII, HIROHITO // Surgery Today;Jul2010, Vol. 40 Issue 7, p658 

    A subclavian artery dissection (SAD) is usually associated with coexisting aortic disease, and spontaneous SAD is extremely rare. This report presents the case of a spontaneous SAD patient who developed atypical clinical symptoms. A 41-year-old woman presented with bilateral ischemia of her...

  • Subclavian artery injuries. McCoy, Daniel W.; Weiman, Darryl S. // American Surgeon;Sep97, Vol. 63 Issue 9, p761 

    Presents challenging problems on blunt and penetrating injuries of the subclavian arteries for trauma surgeon. Mortality rate of the injury; Patients and methods for the study; Surgical management for the injury; Limitations of the study.

  • Combined Cerebral and Lower-Limb Revascularization. Jebara, Victor A.; Kassabian, Elie; Badaoui, Georges; Abdel-Massih, Tony; Karam, Boutros; Slaba, Sami; Khalil, Antoine // Texas Heart Institute Journal;2001, Vol. 28 Issue 3, p190 

    Reports on the use of a technique of combined brachiocephalic and femoral revascularization in patient with bilateral total occlusion of both subclavian arteries. Findings of the physical examination on the patient; Various surgical techniques used to perform operative treatment of subclavian...

  • A Case of Brucella Endocarditis in Association with Subclavian Artery Thrombosis. Colomba, Claudia; Siracusa, Lucia; Rubino, Raffaella; Trizzino, Marcello; Scarlata, Francesco; Imburgia, Claudia; Titone, Lucina // Case Reports in Infectious Diseases;2012, p1 

    Brucellosis is a common zoonosis, endemic in Mediterranean countries, and caused by bacteria of Brucella genus. Brucellosis is a systemic infection and the clinical presentation varies widely from asymptomatic and mild to severe disease. Cardiovascular complications are extremely rare. We...

  • An unusual case of the syndrome of cervical rib with subclavian artery thrombosis and cerebellar and cerebral infarctions. Jusufovic, Mirza; Sandset, Else Charlotte; Haug Popperud, Trine; Solberg, Steinar; Ringstad, Geir; Kerty, Emilia // BMC Neurology;2012, Vol. 12 Issue 1, p48 

    Background: Cerebellar and cerebral infarctions caused by the syndrome of cervical rib with thrombosis of subclavian artery are very unusual. Case presentation: We report the case of a 49-year-old male patient with a right cervical rib compression leading to subclavian arterial thrombosis and...

  • Central venous catheterization via persistent left superior vena cava. Josloff, Robert K.; Kukora, John S. // American Surgeon;Sep1995, Vol. 61 Issue 9, p781 

    Discusses the problems involved in the clinical assessment of subclavian artery catheter placement. Discussion of the evaluation and workup of malposition of central venous catheters and the embryologic development of a left-sided vena cava.

  • Right Aortic Arch and Kommerell's Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery. Hiroshi Osawa; Daisuke Shinohara; Kouan Orii; Shigeru Hosaka; Shoji Fukuda; Okihiko Akashi; Hiroshi Furukawa // Case Reports in Vascular Medicine;2013, p1 

    Right aortic arch with Kommerell's diverticulum is a very rare situation. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum. However planning the strategy of operation is difficult without a 3D imaging.We report a case of a...

  • DISCUSSION. Kerstein, Morris // Vascular Surgery;Jan/Feb2000, Vol. 34 Issue 1, p10 

    Discusses the occurrence of subclavian steal syndrome. Impact of upper extremity exercise on retrograde flow in the vertebral artery; Use of carotid subclavian bypass operative intervention for subclavian steal; Occurrence of coincident lesion in the circle of Willis resulting in vertebral...

  • Evaluation of Survival and Neurological Deficit in Rats in the New Model of Global Transient Cerebral Ischemia. Chernysheva, G.; Smol'yakova, V.; Osipenko, A.; Plotnikov, M. // Bulletin of Experimental Biology & Medicine;Dec2014, Vol. 158 Issue 2, p197 

    We propose a modification to rat model of transient global cerebral ischemia with four-vessel occlusion avoiding pneumothorax and minimizing the consequences of surgery. Survival and neurological deficit in rats in this model was studied over 5 days.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics