一个急性缺血性中风的病例是由于一个附着于 Carotid Web 的移动血栓
Shunsuke Kimura1,2, Naoki Tagawa1, Tadataka Mizoguchi1
1National Hospital Organization Kyushu Medical Center, Department of Cerebrovascular Medicine and Neurology, Japan.
Internal medicine (Tokyo, Japan)
|July 24, 2025
概括
一个罕见的动脉网 (CaW) 在一个48岁的男子中引起了中风,表现为意识受损和失言症. 及时诊断和干预,包括支架,导致成功的血栓解决和治疗.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 放射学 放射学是一门学科.
背景情况:
- 脑梗塞可能由各种原因引起,包括血栓栓塞事件.
- 冠状动脉网 (CaW) 是一种罕见的先天性异常,可以使个体易患中风.
- 诊断CaW可能具有挑战性,通常需要先进的成像技术.
研究的目的:
- 为了呈现出脑中风的病例,该病例是动脉网络的次要.
- 突出用于识别CaW的诊断方式.
- 讨论与CaW相关的中风的管理和结果.
主要方法:
- 评估了一名48岁的男性患者,他患有急性神经缺陷.
- 大脑的磁共振成像 (MRI) 确定了脑梗塞.
- 动脉超声波,宫MRI与脂肪和T1成像,以及数字减去血管图进行了调查动脉起源.
- 冠状动脉支架进行了治疗.
主要成果:
- 磁力共振成像证实左側葉和葉的急性腦梗塞.
- 动脉超声波和宫MRI揭示了在左侧内动脉起源处的移动性内结构.
- 数字减去血管造影显示对比度停滞,这表明心动脉网.
- 在移动结构释放后发生了血栓分离,动脉支架成功并被很好地容忍.
结论:
- 冠状动脉网络可能是缺血性中风的原因,即使在年轻人中.
- 结合先进的成像技术对于准确的CaW诊断至关重要.
- Carotid 动脉支架是 CaW 相关中风的可行治疗选择,提供了良好的结果.
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