自发脊椎动脉剖析的非典型表现中的诊断挑战
Thuy Hao Nguyen1,2, Muhammad Ali Akhtar1, Pradip Chaudhary1
1Internal Medicine, Michigan State University, Flint, USA.
Cureus
|April 28, 2025
概括
脊椎动脉解剖 (VAD) 可以导致年轻成年人的中风. 这个案子详细介绍了一个年轻女子.
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:
- 脊椎动脉剖析 (VAD) 是中风的重要原因,特别是在年轻人群中.
- 不典型的VAD表现可以延迟诊断和治疗,增加神经系统缺陷的风险.
研究的目的:
- 在年轻成年人中报告脊椎动脉剖析后发生的缺血性中风病例.
- 强调在出现神经症状的患者中考虑VAD的重要性,即使是非典型的症状.
主要方法:
- 一个24岁的女性的临床表现,患有头,双眼和耳朵疼痛.
- 诊断工作包括CT头部,CT血管造影和脑部和部的MRI与对比.
- 开始使用阿司匹林和Brilinta的双重抗血小板治疗.
主要成果:
- 核磁共振扫描 (MRI) 证实了右小脑半球和后脑髓中的急性/次急性缺血性中风.
- 宫MRI显示了右脊动脉V3段的闭合剖析.
- 最初的CT扫描没有显示出急性发现.
结论:
- 及时诊断脊椎动脉剖析至关重要,特别是在患有神经症状的年轻患者中.
- 这一案例强调了在出现,听力损失和神经缺陷的患者中对VAD的高度临床怀疑的必要性,即使最初有负面成像.
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