Neurology India Medknow Publications on behalf of the Neurological Society of India ISSN: 0028-3886 EISSN: 1998-4022 Vol. 50, Num. 1, 2002, pp. 111

Neurology India, Vol. 50, No. 1, March, 2002, pp. 111

Subclavian Steal Syndrome (Neuroimage)

A. Arora, V.P. Sharma,* H.S. Bedi,*

Departments of Neurology and Cardiology,* Tagore Hospital and Tagore Heart Care and Research Centre, Banda Bahadur Nagar, Mahavir Marg, Jalandhar, Punjab, India.

Code Number: ni02034

A 38 years old male presented with a history of sudden onset difficulty in walking and giddiness. His
examination revealed cerebellar signs on the left side and absent brachial and radial pulses in the left
hand. CT scan showed an infarct in left cerebellar hemisphere (Fig. 1). MR angio showed retrograde
filling of left vertebral artery (Fig. 2). A conventional angiogram revealed total blockage of left subclavian
artery (Fig. 3) thereby confirming the diagnosis of subclavian steal. Patient was treated with surgery
and made a good recovery.

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