Subclavian Steal Syndrome, Cerebellar Infarctions, and Alcohol

Published:October 27, 2020DOI:
      A 74-year-old man with a history of hypertension, dyslipidemia, and old myocardial infarction, presented with vertigo and vomiting that developed after dinner with vodka consumption (200 gr). He denied being a smoker. Nystagmus, associated with right cerebellar signs, ataxia and mild right hemiparesis, and pyramidal signs were found. Asymmetric radial pulses and blood pressure were noted on admission (140/80 right, 110/70 left). Otherwise, examination, laboratory tests, electrocardiogram, and echocardiography were unremarkable.
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        • Saha T
        • Naqvi SY
        • Ayah OA
        • et al.
        Subclavian artery disease: diagnosis and therapy.
        Am J Med. 2017; 130: 409-416
        • Labropoulos N
        • Nandivada P
        • Bekelis K
        Prevalence and impact of the subclavian steal syndrome.
        Ann Surg. 2010; 252: 166-170
        • Hennerici M
        • Klemm C
        • Rautenberg W
        The subclavian steal phenomenon: a common vascular disorder with rare neurologic deficits.
        Neurology. 1988; 38: 669-673
        • De Cocker LJL
        • Lovblad KO
        • Hendrikse J
        MRI of cerebellar infarction.
        Eur Neurol. 2017; 77: 137-146
        • Malpas SC
        • Robinson BJ
        • Maling TJB
        Mechanism of ethanol-induced vasodilation.
        J Appl Physiol. 1990; 68: 731-734