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严重的双边脊椎动脉疾病伪装成
Juwayria A Ahmed1, Khudheeja A Ahmed1, Mohammed Habeeb Ahmed2
1Department of Research, KAAJ Healthcare, San Jose, USA.
Cureus
|January 12, 2024
概括
脊椎动脉狭窄 (VAS) 可以导致持续的头. 这一案例凸显了需要彻底评估的必要性,因为非侵入性成像可能会错过关键发现,如严重的右椎动脉狭窄.
科学领域:
- 血管神经学 血管神经学
- 心脏病学 心脏病学
- 放射学 放射学是指放射学
背景情况:
- 脊柱动脉狭窄 (VAS) 是脊柱动脉的狭窄,通常导致脊柱底性缺陷 (VBI).
- 血管神经系统的临床表现各不相同,而头可能是主要症状.
研究的目的:
- 报告一种异常的两侧VAS严重病例,主要表现为头.
- 强调识别微妙症状的重要性以及在诊断VAS时的非侵入性成像的局限性.
主要方法:
- 一个71岁的男性患有持续性的病例报告.
- 诊断工作包括脑MRI,部磁共振血管造影 (MRA) 和侵入性血管造影.
- 多学科咨询包括心脏病学,神经病学和放射学.
主要成果:
- 患者被诊断为左脊动脉封闭和严重的右脊动脉狭窄.
- 非侵入性MRA未能检测到右脊椎动脉中的严重狭窄.
- 侵入性血管造影证实了闭塞和严重狭窄.
结论:
- 头可能是严重双边VAS的唯一表现症状,需要全面评估.
- 当非侵入性成像对诊断VAS无决定性时,侵入性血管造影可能至关重要.
- 跨学科的合作对于管理复杂的血管疾病如VAS至关重要.
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