Post on 13-Jul-2015
1) Introduction
2) Classification of Subclavian Steal Phenomenon
3) Path Of Blood(Normal Vs SSS)
4) Etiology
5) Clinical Presentation
(A) Ipsilateral Upper Limb Manifestations
(B) Neurotological Syndrome
(6) Diagnosis
(7) Treatment
(8) Epidemiology
Classification I Classification II
Vollmar and Colleagues Basis: Hemodynamic
disturbances of
vertebral artery
Vertebro-Vertebral Stage I: Occult Steal
Carotid-Basilar Stage II: Partial Steal
External Carotid-Vertebral Stage III: Complete Steal
Carotid-Subclavian
1)Weak or absent pulse
2)Decreased B.P.
(<20 mm Hg)
3)Arm Claudication
4)B.P. difference between
two arms
5)Hand showing circulation
problem(Blotchy Patches)
I) NEUROLOGICAL1) Dizziness
2) Vertigo
3) Presyncope
4) Syncope
5) Ataxia
6) Dysarthria
7) Visual changes
8) Weakness
Clinical Anatomy- Neeta V. Kulkarni
Gross Anatomy- Kyung won Chung and Harold M chung
Clinical and surgical anatomy- Vishram Singh
www.clinicalkey.com
Gray’s Anatomy- Henry Gray
Clinical Anatomy by Regions-Richard S. Snell