Presentation
Carotid bruit upon auscultation.
Patient Data
Age: 70 years
Gender: Female
From the case:
Bunny waveform sign



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Right vertebral artery exhibits cranial flow, however partial inversion in its flow is observed, characterised by spectral notch / mesosystolic deceleration.
In the last image, we observe the normal flow of the vertebral vein.
Case Discussion
Right vertebral artery exhibits cranial flow, however partial inversion in its flow is observed, characterised by spectral notch / mesosystolic deceleration. This change corresponds to an early finding concerning ipsilateral subclavian artery steal syndrome.