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Case Reports
. 2025 Sep 15;21(1):90-95.
doi: 10.14797/mdcvj.1491. eCollection 2025.

Diagnostic Enigma of Blurring Vision and Apparent Shock

Muralidhar Naik  1 , Ramachandran Padmakumar  1
Affiliations
Case Reports

Diagnostic Enigma of Blurring Vision and Apparent Shock

Muralidhar Naik et al. Methodist Debakey Cardiovasc J. .

Abstract

This interactive CME case poses the challenge of diagnosing a male patient in his late 60s who presented to the emergency department of a tertiary care hospital with neurological symptoms. He complained of transient blurred vision lasting for 20 minutes and was later identified to be in shock.

Keywords: peripheral vascular disease; shock.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Ultrasound Doppler of left subclavian artery shows high peak velocity
Figure 1
Ultrasound Doppler of left subclavian artery shows high peak velocity (white arrow).
Bilateral subclavian artery stenosis showing (A) right innominate artery stenosis with calcific arch of aorta and (B) left subclavian artery stenosis
Figure 2
Bilateral subclavian artery stenosis shows (A) right innominate artery stenosis (white arrow) with calcific arch of aorta (star) and (B) left subclavian artery stenosis (white arrow).
Percutaneous transluminal angioplasty of left subclavian artery with a 7-mm × 39-mm peripheral stent
Figure 3
Percutaneous transluminal angioplasty of left subclavian artery with a 7-mm × 39-mm peripheral stent (white arrow).
See this image and copyright information in PMC

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