Annals of Indian Academy of Neurology
: 2022  |  Volume : 25  |  Issue : 4  |  Page : 707-

Subclavian steal syndrome due to Takayasu arteritis

Jerry George, Ayush Agarwal, Divya M Radhakrishnan, Achal K Srivastava 
 Department of Neurology, AIIMS, New Delhi, India

Correspondence Address:
Ayush Agarwal
Assistant Professor, Department of Neurology, AIIMS, New Delhi

How to cite this article:
George J, Agarwal A, Radhakrishnan DM, Srivastava AK. Subclavian steal syndrome due to Takayasu arteritis.Ann Indian Acad Neurol 2022;25:707-707

How to cite this URL:
George J, Agarwal A, Radhakrishnan DM, Srivastava AK. Subclavian steal syndrome due to Takayasu arteritis. Ann Indian Acad Neurol [serial online] 2022 [cited 2022 Dec 5 ];25:707-707
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A 42-year-old gentleman, left-handed, a gardener by profession, presented with complaints of vertiginous sensations associated with prolonged usage of his left upper limbs. These resolved with rest. There was no history of neck pain, radiation, claudication, tinnitus, decreased hearing, diplopia, dysarthria, dysphagia, or weakness. Non-contrast computed tomography of the head was within normal limits. 2D-echocardiography and Electrocardiogram (ECG) were normal. The Computed Tomography (CT) angiography of his brain and neck [Figure 1] showed features suggestive of Takayasu arteritis. He was started on prednisolone and methotrexate with symptomatic relief.{Figure 1}

Takayasu arteritis is a large-vessel vasculitis affecting the aorta and its branches.[1] The subclavian steal syndrome occurs due to the reversal of flow in the vertebral artery toward the subclavian artery (during periods of increased demand) because of stenosis/occlusion of the proximal subclavian artery.[2] It manifests with transient ischemic episodes of the posterior cerebral circulation.[2] The disease usually responds to corticosteroids and surgical treatment and is indicated when medical therapy does not yield a symptomatic response.[3]

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2Yoneda S, Nukada T, Tada K, Imaizumi M, Takano T, Abe H. Subclavian steal in Takayasu arteritis: A hemodynamic study by means of ultrasonic doppler flowmetry. Stroke 1997;8:264-8.
3Moncada G, Kobayashi Y, Koneko E, Nishiwaki Y, Kishi Y, Numano F. Subclavian steal syndrome secondary to Takayasu arteritis. Int J Cardiol 1998;66(Suppl 1):S231-6.