Prominent somnolence and cerebellar syndrome in subclavian artery thrombosis--a case report.
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 revascularization of the involved upper limb.
Golcman
L
L
Department of Surgery A, Soroka Medical Center, Beer Sheva, Israel.
Berginer
V M
VM
Szendro
G
G
Hoda
J
J
Louson
Z
Z
D000208:Acute Disease; D000328:Adult; D001132:Arm / Q000098:blood supply; D001921:Brain / Q000000981:diagnostic imaging; D002524:Cerebellar Ataxia / Q000209:etiology*; D006970:Disorders of Excessive Somnolence / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000209:etiology; D008297:Male; D011859:Radiography; D012893:Sleep Wake Disorders / Q000209:etiology*; D013348:Subclavian Artery; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery