致命的中风与急性同时双侧常见动脉封闭呈现为突然昏迷:一个病例报告
Yuki Koike1, Hideki Endo1, Tomoki Fuchizaki1
1Department of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, Japan.
Radiology case reports
|December 11, 2023
概括
双边常见动脉阻塞是致命性中风的极为罕见的原因,呈现为突然昏迷. 这个案例凸显了这种情况的关键和经常致命的后果.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 放射学 放射学是一门学科.
背景情况:
- 常见的动脉阻塞是一种罕见的血管事件.
- 双边常见动脉封闭异常罕见,报告的病例有限.
- 心房动会增加中风风险,但抗血栓药物治疗的坚持至关重要.
研究的目的:
- 报告一个极其罕见的致命性中风病例,原因是急性同时双侧常见动脉封闭.
- 描述这种罕见疾病的临床表现,诊断成像和结果.
- 强调这种严重病例的诊断挑战和治疗局限性.
主要方法:
- 一个90岁的女性病人的病例报告呈现出突然昏迷.
- 诊断成像包括磁共振成像 (MRI) 用于脑梗塞和磁共振血管学 (MRA) 用于动脉.
- 临床评估患者的年龄,并发症和功能状态.
主要成果:
- 患者出现了突然昏迷,表明严重的神经事件.
- 核磁共振扫描显示了两个半球的大脑中风的严重程度.
- MRA证实了急性同时双侧常见动脉封闭.
- 由于广泛的心脏病发作,晚年和功能状况不佳,拒绝了再通道治疗.
结论:
- 急性同时双侧常见动脉封闭是一种罕见但致命的中风原因.
- 通过先进的成像即时诊断是必不可少的.
- 治疗决策必须权衡严重神经缺陷的老年患者的潜在益处与风险.
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