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同时的多个宫血管剖析表现为脉动性耳声
George Nilton Nunes Mendes1, Laurent Letourneau-Guillon2,3, Yan Deschaintre1,4
1Department of Medicine (Neurology), Centre Hospitalier de L'Université de Montréal, Canada.
The neuroradiology journal
|March 27, 2024
概括
这一案例突出了罕见的多次宫动脉剖析的例子,呈现出脉动性耳作为中风复发的独特症状. 患者 患者 患者
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 宫动脉解剖 (CAD) 是年轻成人中风的主要原因.
- 多次自发的宫动脉剖析不常见,发生在不到2%的病例中.
- 瓦伦伯格综合征是由于侧面髓梗塞引起的,可由脊椎动脉剖析引起.
研究的目的:
- 报告一例罕见的同时进行双带和右V3剖析的病例,该病例发生在之前患有瓦伦伯格综合征的患者身上.
- 突出脉动性耳作为潜在的,尽管很少见,中风后复发解剖的症状.
- 强调高分辨率血管壁MRI成像在诊断复杂剖析中的实用性.
主要方法:
- 一个43岁的女性患者的病例报告.
- 对临床表现,诊断成像和医学文献的审查.
- 高分辨率的血管壁磁共振 (MR) 图像,以确认新的解剖.
主要成果:
- 由于左脊椎动脉剖析,该患者出现了瓦伦伯格综合征,随后同时发生了双心血管和右V3剖析.
- 通过高分辨率血管壁MRI成像证实了新的解剖.
- 患者经历了新发的右侧脉动性耳声和右侧带声.
结论:
- 同时的多动脉宫剖析,虽然很少发生,但可以发生,并且可能具有普遍有利的预后.
- 脉冲性耳声可能是中风后复发解剖的不寻常症状.
- 血管壁成像对于精确诊断和管理复杂的宫动脉剖析至关重要.
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