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Angiology
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Prominent Somnolence and Cerebellar Syndrome in Subclavian Artery Thrombosis—A Case Report

Luis Golcman

Department of Surgery "A", Ben Gurion University of the Negev

Vladimir M. Berginer

Department of Neurology, Soroka Medical Center and Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel

Gabriel Szendro

Department of Surgery "A", Ben Gurion University of the Negev

Jelinus Hoda

Department of Surgery "A", Ben Gurion University of the Negev

Zeev Louson

Department of Neurology, Soroka Medical Center and Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel

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 stud ies confirmed a brain stem and reticular formation dysfunction due to vertebro basilar ischemia. Urgent thromboembolectomy led to neurologic improvement and satisfactory revascularization of the involved upper limb.

Angiology, Vol. 38, No. 12, 912-915 (1987)
DOI: 10.1177/000331978703801207
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