CASE REPORT - Dizziness and syncope after subclavian steal: A case report of a rarely symptomatic, common vascular disorder
https://doi.org/10.51866/cr1306
- Author:
Bazli Md Yusoff
1
,
2
;
Nik Mohamed Firdaus Nik Mohamed Kama
3
,
4
;
Nasibah Mohamad
4
,
5
Author Information
1. MB BCh BAO (Ireland), MMed (Radiology) Department of Radiology, Hospital Universiti Sains Malaysia, Kubang Kerian, Kota Bharu, Kelantan Malaysia
2. chool of Medical Sciences Universiti Sains Malaysia, Kubang Kerian Kelantan, Malaysia
3. MBBCh (Mansoura) Department of Radiology, Hospital Universiti Sains Malaysia, Kubang Kerian, Kota Bharu, Kelantan Malaysia
4. School of Medical Sciences Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
5. MD (USM), MMed(Radiology) Department of Radiology, Hospital Universiti Sains Malaysia, Kubang Kerian, Kota Bharu, Kelantan Malaysia
- Publication Type:Journal Article
- Keywords:
Subclavian steal syndrome;
syncope;
angioplasty
- MeSH:
Subclavian Steal Syndrome;
Syncope;
Angioplasty
- From:Malaysian Family Physician
2022;17(1):82-85
- CountryMalaysia
- Language:English
-
Abstract:
Subclavian steal syndrome (SSS) is a manifestation of vertebrobasilar artery insufficiency due to stenosis of the proximal subclavian artery. It is a common vascular disorder; however, most patients are asymptomatic, and the disorder is commonly found incidentally during imaging. Nevertheless, some patients may present with arm ischemia or signs and symptoms of vertebrobasilar insufficiency, such as vertigo, dizziness, diplopia, ataxia, dysarthria, and syncopal episodes. We present a case of a male patient who presented with sudden onset dizziness, syncopal episodes, and blood pressure discrepancy between his arms. Diagnosis was a challenge, and the patient underwent several investigations, including basic bloodwork, electrocardiography (ECG), echocardiography, brain computed tomography (CT), and coronary CT angiography (CTA). Narrowing in the proximal left subclavian artery was found during coronary CTA, which confirmed the diagnosis of SSS.
- Full text:2025081810162492630v17n1-Cr-Dizziness-and-syncope-after.pdf
