在胸部受伤后从脊椎动脉解剖引起的小脑梗塞:一个病例报告
Daniella Lamour1,2,3, Joshua J Solano1,2,3, Jovana Rutherford4
1Florida Atlantic University, Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, Florida.
Clinical practice and cases in emergency medicine
|February 14, 2024
概括
创伤性脊椎动脉剖析可以导致中风,即使没有典型的症状. 早期怀疑对于诊断这种罕见但严重的疾病至关重要,特别是在重物质创伤后.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 创伤医学 创伤医学
背景情况:
- 创伤性脊椎动脉剖析 (TVAD) 导致中风并不常见.
- 在这些情况下,经典的体检结果往往不存在.
- 迟延诊断脑血管损伤 (BCVI) 影响高达80%的患者.
研究的目的:
- 报告TVAD中继的小脑中风病例.
- 强调在有相关创伤病史的患者中保持高TVAD怀疑指数的重要性.
主要方法:
- 一个30岁的男性患有胸部创伤的案例介绍.
- 最初的急诊室工作结果对胸部损伤是负面的.
- 随后出现头痛,诊断为小脑中风是TVAD的次要原因.
主要成果:
- 患者经历了一次小脑中风,原因是脊椎动脉剖开后,的胸部创伤.
- 病人在住院后没有神经缺陷恢复.
- 最初的表现缺乏血管损伤的经典迹象.
结论:
- 医生应该考虑TVAD在创伤的患者,即使没有典型的症状.
- 提高对血管损伤及其可能导致高发病率的认识至关重要.
- 及时诊断和管理TVAD可以预防显著的神经系统缺陷.
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