BMJ Case Reports 2013; doi:10.1136/bcr-2013-009211

20-year-old injury: an unusual cause of stroke

  1. D Lyons
  1. Department of Geriatrics, Midwestern Regional Hospital, Limerick, Ireland
  1. Correspondence to Dr V W L Lim, valz_17{at}


A 62-year-old man presented with a 2-day history of headache, nausea and dizziness on a background of recently diagnosed stage 2c prostate carcinoma and controlled hypertension. Imaging confirmed bilateral cerebellar strokes; on further investigations, he was found to have undiagnosed subclavian steal syndrome following severe injury to his left arm more than 20 years earlier.

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