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
Bilal SİZERa, Sadullah ŞİMŞEKb, Ümit YILMAZc, Müzeyyen YILDIRIM BAYLANc
aSelehattin Eyyubi State Hospital, Clinic of Otolaryngology, Diyarbakır, TURKEY
bDicle University Faculty of Medicine, Department of Radiology, Diyarbakır, TURKEY
cDicle University Faculty of Medicine, Department of Otolaryngology, Diyarbakır, TURKEY
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.
Keywords: Hearing loss; subclavian steal syndrome; tinnitus
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.
Anahtar Kelimeler: İşitme kaybı; subklavyen çalma sendromu; tinnitus
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