单侧 Carotid Rete Mirabile 呈现与肢体震动的过渡性缺血性攻击
Jian Wang1, Hongbo Zheng1, Fayun Hu1
1Department of Neurology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
World neurosurgery
|November 6, 2024
概括
一个罕见的冠状动脉神经回路 (RM) 病例模仿了冠状动脉狭窄,导致四肢动的暂时性缺血性发作. 通过抗血小板治疗进行保守的管理被证明是有效的,突出显示RM是关键的差异诊断.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经成像是一种神经成像.
背景情况:
- 肢体动的过时性缺血性发作 (TIA) 通常与显著的动脉狭窄有关.
- Carotid rete mirabile (RM) 是一种罕见的血管异常,可以呈现异常.
研究的目的:
- 报告一例罕见的单侧动脉神奇回路 (RM) 病例,呈现为四肢震动的TIA.
- 强调在模仿动脉狭窄的TIAs的差异诊断中考虑RM的重要性.
主要方法:
- 一名70岁的男性出现了反复出现的四肢动和麻木.
- 脑血管造影显示了一个单边的动脉神迹.
- 计算机断层扫描检测出了带通道扩张不良,支持了RM诊断.
主要成果:
- 患者的血管图显示了一个异常的微动脉附带网络取代了右侧内动脉的洞穴段,与RM一致.
- 考虑的差异诊断包括闭塞后的再通道化和动脉静脉形.
- 患者在开始抗血小板治疗和改变生活方式后没有进一步的脑血管事件.
结论:
- 在肢体动性TIA的差异诊断中,即使没有典型的动脉狭窄,也应该考虑心动脉神经回收 (RM).
- 保守的管理,包括抗血小板治疗,可能是RM患者呈现TIAs的有利方法.
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