Reversed Robin Hood Syndrome

Recurrent hemodynamic and neurologic changes in acute ischemic syndromes with persisting arterial occlusions due to cerebral blood flow steal from ischemic to nonaffected brain. The steal phenomenon can be detected through transcranial Doppler monitoring with voluntary breath-holding and serial NIH Stroke Scale assessment as transient, spontaneous, or vasodilatory stimuli-induced velocity reductions in affected arteries at the time of an increase in velocity in normal vessels
At risk groups Patients with arterial occlusions and excess sleepiness