A case of ataxic hemi paresis treated by successful subclavian artery stenting

Subclavian steal syndrome is a form of peripheral artery disease which may be a marker of underlying atherosclerotic disease. It can manifest as symptomatic ischemia affecting the upper extremities, and in some cases the brain. The condition still remains under diagnosed mainly in elderly people. Here we had a 84 year male who presented with neurological disturbances and feeble pulses of left hand. On evaluation he was found to have neurological deficits with a significant narrowing at proximal left subclavian artery. He was successfully treated with Peripheral angioplasty with stent and got symptomatic relief. His ataxic symptoms improved more than the motor weakness at a month of follow up. This case high lightens that prompt intervention for a significant Subclavian artery stenosis would benefit in a manner similar to that treating the carotid artery stenosis by stenting.