Thinking Reverse Robin Hood Syndrome in the Emergency Room: Case of a Male with Vertigo

Abstract

Reversed Robin Hood syndrome (RRHS) is described as the steal of arterial blood flow from ischemic to non-ischemic parts of the brain. It is one of the causes of early deterioration in patients with ischemic stroke. The case presented here led us to think about the relationship between RRHS and stroke risk. Flow steal with arterial occlusions is a well-known phenomenon. This phenomenon is named so due to its similarity with the phrase “rob the poor to feed the rich.” However, more studies are needed to evaluate the concept of blood flow steal in real-time. A possible mechanism is the vasodilation of non-ischemic areas that steal the blood flow from the ischemic areas.

Keywords

• reversed robin hood syndrome
• stroke
• vertigo