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CASE REPORTS

Subclavian Steal Syndrome with Otologic Findings
Otolojik Bulgularla Subklavyen Çalma Sendromu
Received Date : 16 Feb 2020
Accepted Date : 27 Apr 2020
Available Online : 01 May 2020
Doi: 10.24179/kbbbbc.2020-74296 - Makale Dili: EN
KBB ve BBC Dergisi. 2020;28(2):160-4
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Subclavian "steal" syndrome is a condition that causes reverse flow and changes in the flow pattern from the vertebral artery to the subclavian artery on the same side as a result of severe stenosis or obstruction in the proximal section of the subclavian artery before delivery to the vertebral artery. Subclavian steal syndrome is mostly asymptomatic due to collaterals to the head, neck and shoulders, but as a result of subclavian steal syndrome, neurotological symptoms can sometimes be seen due to vertebrobasias insufficiency as the vertebrobasilar arterial system feeds the peripheral, central auditory and vestibular systems. We found it appropriate to present a patient complained of tinnitus and hearing loss in the right ear, and we detected subclavian steal syndrome during the differential diagnosis we made based on these complaints. For this reason, patients with dizziness, hearing loss, or tinnitus should undergo a careful neurotological examination, and consideration given to a finding of vertebrobasilar insufficiency due to subclavian steal syndrome, although this is rarely seen.
ÖZET
Subklavyen "çalma" sendromu, subklavyen arterin vertebral arteri vermeden önceki proksimal bölümünde ciddi darlık ya da tıkanıklık sonucunda aynı taraf vertebral arterden subklavyen artere ters yönde akıma ve akım paterninde değişikliklere neden olan durumdur. Subklavyen çalma sendromu baş, boyun ve omuzda kollaterallere bağlı çoğunlukla asemptomatiktir ancak vertebrobaziler arteryel sistem periferik ve merkezi işitsel ve vestibüler sistemleri beslediğinden subklavyen çalma sendromuna bağlı olarak bazen vertebrobaziller yetersizlik nedeniyle nörootolojik semptomlar görülebilir. Biz de polikliniğimize izole sağ kulakta çınlama ve işitme kaybı şikayeti ile gelen ve mevcut şikayetlerine yönelik yaptığımız ayırıcı tanı esnasında subklavyen çalma sendromu tespit ettiğimiz olguyu sunmayı uygun gördük. Bu nedenle baş dönmesi, işitme kaybı veya kulak çınlaması ile gelen hastalarda dikkatli nörotolojik muayene yapılmalı ve nadir de olsa subklavyen çalma sendromu kaynaklı vertebrobaziler yetmezlik bulgularının görülebileceği düşünülmelidir.
KAYNAKLAR
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