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.
Department of Surgery A, Soroka Medical Center, Beer Sheva, Israel.
L
L
Golcman
V M
VM
Berginer
G
G
Szendro
J
J
Hoda
Z
Z
Louson
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