在右侧动脉内关节切除术后,重复昏发作完全解决的一个案例
Shuki Mizukami1, Akihito Hashiguchi1, Kensuke Sasaki1
1Neurological Surgery, Tokuda Neurosurgical Hospital, Kanoya, JPN.
Cureus
|August 1, 2024
概括
严重的动脉狭窄可以导致经常性昏迷 (昏). 为了恢复大脑的血液流动,进行手术干预,在患有单侧内动脉狭窄症的患者中有效地解决了昏迷.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 血管外科 血管外科
背景情况:
- 昏迷是一种常见的疾病,通常与大脑低 perfusion 相关.
- 即使经过彻底的评估,也很难确定昏迷的确切原因.
研究的目的:
- 为了研究单边内动脉 (ICA) 狭窄和复发性昏迷之间的关系.
- 讨论潜在的病理机制,将动脉疾病与昏迷联系起来.
主要方法:
- 一个病人的病例报告,患有复发性昏迷和严重的右侧单侧ICA狭窄.
- 心脏评估显示没有异常.
- 对右侧ICA进行了成功的动脉再血管化手术.
主要成果:
- 患者在手术前经历了重复的昏迷发作.
- 暂时的左侧轻微半与昏昏发作有关.
- 在右侧ICA重血管化后,昏迷完全消失,没有进一步报告的发作.
结论:
- 单边严重的内 Carotid 动脉 (ICA) 狭窄可能是复发性昏迷的原因.
- 动脉复血管化手术可以有效治疗严重ICA狭窄引起的昏睡.
- 这一案例凸显了在对不明原因昏迷的病因调查中考虑动脉疾病的重要性.
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