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Neurological Sciences

, Volume 39, Issue 6, pp 1143–1144 | Cite as

Interarm skin temperature differences: manifestation of subclavian steal syndrome?

  • Omer Ć. Ibrahimagić
  • Dževdet Smajlović
  • Zikrija Dostović
  • Amra Iljazović
  • Suljo Kunić
Letter to the Editor

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 [1]. Subclavian stenosis is a marker of atherosclerotic disease and presents an increased risk for cardiovascular and cerebrovascular events [2]. In the 1960s, Contorni recognized and described SSS using angiography in a patient with absent radial pulse [3].

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...

Notes

Author contribution

The manuscript has been read and approved for publication by all authors. All authors have a substantial contribution in this work.

Compliance with ethical standards

Informed consent

Informed consent was obtained from the patient.

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Alcocer F, David M, Goodman R, Jain SK, David S (2013) A forgotten vascular disease with important clinical implications. Subclavian steal syndrome. Am J Case Rep 14:58–62.  https://doi.org/10.12659/AJCR.883808 CrossRefPubMedPubMedCentralGoogle Scholar
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    Potter BJ, Pinto DS (2014) Subclavian steal syndrome. Circulation 129(22):2320–2323.  https://doi.org/10.1161/CIRCULATIONAHA.113.006653 CrossRefPubMedGoogle Scholar
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    Contorni L (1960) Il Circolo collaterals vertebro-vertebral nella obliterazione dell’arteria subclavian all sua origine. Minerva Chir 15:268–271PubMedGoogle Scholar
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    Osiro S, Zurada A, Gielecki J, Shoja MM, Tubbs RS, Loukas M (2012) A review of subclavian steal syndrome with clinical correlation. Med Sci Monit 18(5):57–63.  https://doi.org/10.12659/MSM.882721 CrossRefGoogle Scholar
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    Labropoulos N, Nandivada P, Bekelis K (2010) Prevalence and impact of the subclavian steal syndrome. Ann Surg 252:166–170CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurologyUniversity Clinical Center TuzlaTuzlaBosnia and Herzegovina
  2. 2.TuzlaBosnia and Herzegovina
  3. 3.Primary Health Care Center TuzlaTuzlaBosnia and Herzegovina

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