Interarm skin temperature differences: manifestation of subclavian steal syndrome?
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Dear Editor-in-Chief Federico,
Subclavian steal syndrome (SSS) is a fascinating vascular phenomenon in which a steno-occlusive lesion of the proximal subclavian artery causes retrograde flow in the vertebral artery away from the brain stem, subsequently causing vertebrobasilar insufficiency . Subclavian stenosis is a marker of atherosclerotic disease and presents an increased risk for cardiovascular and cerebrovascular events . In the 1960s, Contorni recognized and described SSS using angiography in a patient with absent radial pulse .
We present unusual occurrences of an 80-year-old male Caucasian. He experienced ischemic stroke of the left frontoparietal region with contralateral hemiparesis, as a result of the arterial hypertension, diabetes, as well as active smoking for more than 55 years. Simultaneously, he developed what he described as “cold, cold winter in the whole left arm,” and the unusual sensation gradually worsened over a course of few days. With the exception...
The manuscript has been read and approved for publication by all authors. All authors have a substantial contribution in this work.
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Informed consent was obtained from the patient.
Conflict of interest
The authors declare that they have no conflict of interest.