由动态头部和肩部运动引起的昏迷在左下关节缩的设置中
Forrest W Fearington1, Katarina Alajbegovic2, Jonathan M Scott3
1Mayo Clinic Alix School of Medicine.
The neurologist
|January 21, 2025
概括
本案例报告详细介绍了一种罕见的动态脊椎动脉缺陷病例,由关节下动脉狭窄引起. 用支架治疗成功恢复了血液流动,并消除了头和昏迷等症状.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 动态脊椎动脉缺陷是一种罕见的疾病,由于头部运动,导致后脑循环不足.
- 之前的报道集中在脊椎动脉因宫骨质细胞的阻塞上.
- 这个病例呈现出与关节下动脉狭窄相关的不寻常病因.
研究的目的:
- 报告一个不寻常的动态脊椎底座缺陷病例.
- 突出关节下动脉狭窄是动态脊椎动脉缺陷的原因.
- 为了证明皮穿式支架在治疗这种疾病中的有效性.
主要方法:
- 一名61岁的女性患者出现了头,双眼,阴影和昏迷的症状.
- 诊断评估包括跨骨多普勒 (TCD) 超声波和血管学.
- 患者接受了左下关节动脉的皮穿式支架.
主要成果:
- TCD和血管图证实了由左转头部和提起肩膀引发的动态脊柱功能不充分.
- 左下关节动脉狭窄被确定为原因.
- 支架后,TCD显示恢复了正常血管流动,患者的症状消失了.
结论:
- 关节下动脉狭窄可能是动态脊椎底座缺陷的一个不寻常的原因.
- 在这种情况下,TCD和血管造影是有效的诊断工具.
- 关节底动脉的穿皮支架提供了一个成功的治疗选择.
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