Case report of a 66-year-old man presenting with right hemiplegia and aphasia, with angiographic evidence of subclavian and vertebral artery disease.
Ulcerated subclavian plaque may explain select hemispheric strokes; hypothesis-generating and should not yet change practice.
Presentation of CaseA 66-year-old man was admitted to the hospital because of right hemiplegia and aphasia.There was a long history of abdominal discomfort, and in recent years the patient had experienced chest pain on exertion. Fifteen months before entry he was evaluated at this hospital because of vertigo of five years' duration. A transfemoral bilateral vertebral angiographic examination showed an ulcerated plaque at the origin of the left subclavian artery, without stenosis; there was slight narrowing at the origin of the left vertebral artery; the right vertebral artery was dominant, and minimal atheromatous changes were seen at its . . .
No takes yet. Share an insight, caveat, or question.
Cabot et al. (1979) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: