无形成的内 Carotid 动脉:一个潜在的灾难性的血管异常
Benjamin L Bosse1, Geoffrey Wilkinson1, Zoe N Anderson1
1School of Medicine, University of Nevada, Reno, NV 89557, USA.
Diagnostics (Basel, Switzerland)
|October 14, 2023
概括
内动脉 (ICA) 的先天性缺失是一种罕见的疾病. 这一案例凸显了成像在诊断这种异常和预防进一步的大脑并发症方面的重要性.
科学领域:
- 血管神经学 血管神经学
- 放射学 放射学是一门学科.
背景情况:
- 内动脉的先天性缺失 (ICA) 是一种极其罕见的血管异常,影响不到人口的0.01%.
- 这种情况可能会导致严重的神经后果,因为大脑血流受到损害.
研究的目的:
- 报告一个34岁的女性内动脉无塑的病例.
- 强调高级成像在诊断这种罕见异常和管理相关风险方面的作用.
主要方法:
- 大脑磁共振成像 (MRI) 来识别急性心脏病发作.
- 头部和部的计算机断层扫描血管造影 (CTA),以确认左侧内动脉的缺失.
主要成果:
- 患者出现了右臂新发的非自愿动作.
- 核磁共振扫描显示了双边前额叶,叶和左叶的多焦点微小急性心脏病发作.
- CTA证实了左侧内动脉的先天性缺失,没有剖析或阻塞的迹象.
结论:
- 遗传性缺失ICA,特别是当它是唯一的前部血液供应时,会造成大脑并发症的重大风险.
- 通过成像及时诊断和随后的抗凝治疗对于预防进一步的脑血管事件至关重要.
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