A 35-year-old patient was seen in an Emergency Department. with six hours of pain in the right iliac fossa and fever. The hypothesis diagnosis was acute appendicitis and an exploring laparotomy for appendectomy was carried out. The patient returned to the hospital three days after having been discharged. debilitated. feverish. having alterations in speech. reduction in the level of consciousnes...

vertebral or posterior communicating arteries. Both patients, aged 46 and 52, were believed at increased risk of infarction in the future; one patient had a recurrent ischemic episode while on anticoagulants. An occipital to posterior-inferior cerebellar artery anastomosis was performed in each patient. Neither patient was worse after surgery and clinically was unchanged. Both anastomoses were ...

Bow Hunter's syndrome is an unusual symptomatic vertebrobasilar insufficiency resulting from intermittent mechanical compression of the vertebral artery, and is rarely a trigger for cerebral infarction following thrombus formation on the damaged endothelial vessels (Bow Hunter's stroke). The authors present an extremely rare case of a 45-year-old man showing Bow Hunter's stroke due to congenita...

Subclavian steal syndrome refers to the association of neurological symptoms related to vertebrobasilar insufficiency and the phenomenon of subclavian steal. We report the case of a 63 year-old male patient that presented subclavian steal syndrome and severe proximal (80%) stenosis of the left subclavian artery. The patient was submitted to percutaneous transluminal angioplasty and stenting on ...

Medical Department of Frederikssund Hospital, Dybendal, 3600 Frederikssund, Denmark Vagn R0nnov-Jessen, MD, chiefphysician Vertebrobasilar insufficiency is a comparatively young clinical entity. Transient cerebral attacks were described in the last 40 years of the nineteenth century by Raynaud in 1862, Weiss in 1882, Bastian in 1886, and Osler in 1896.' Basilar thrombosis was first described by...

PURPOSE We describe outcomes in a cohort of patients undergoing subclavian carotid transposition (SCT) for occlusive disease of the first segment of the subclavian artery and perform a systematic review of the literature on SCT and carotid subclavian bypass grafting (CSB). METHODS Relevance, validity and extraction of review results were done in duplicate. Data were collected prospectively in...