由血栓形成的常常冠状动脉动脉瘤引起的复发性栓塞性中风:一种不常见的,最初不确定的栓塞源
Takahiro Kumagawa1, Hiroshi Negishi1, Shun Yamamuro1
1Neurological Surgery, Nihon University School of Medicine, Tokyo, JPN.
Cureus
|September 22, 2025
概括
额外冠状动脉动脉瘤可以导致复发性缺血性中风. 识别静脉瘤内血栓是关键的,内血管治疗可以有效地预防进一步的中风.
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:
- 没有明确的栓塞源的复发性缺血性中风是一个诊断挑战.
- 在一个73岁的妇女身上发生了右中脑动脉区域的脑梗塞.
- 以前的评估未能确定前三次中风的确切原因,诊断为源不明的栓塞性中风.
研究的目的:
- 为突出额外冠状动脉动脉瘤作为潜在的栓塞源.
- 强调怀疑静脉瘤内血栓的重要性.
- 将内血管干预作为复发性栓塞性中风的治疗选择.
主要方法:
- 一个73岁的女性患者的病例报告,患有复发性缺血性中风.
- 医疗记录的审查,包括带超声波和磁共振血管学.
- 成功的内血管治疗,包括支架安置和线圈栓塞.
主要成果:
- 确定了一种右常见动脉动脉瘤,最初被排除为栓塞源,因为缺乏明显的血栓.
- 随访超声波显示了流和内结构,表明了血栓形成.
- 患者在内血管干预后的五年随访期间没有出现复发性中风.
结论:
- 额外冠状动脉动脉瘤应被视为潜在的栓塞源在复发性中风的情况下,特别是怀疑血栓.
- 血管内干预可以成为预防这些患者复发性栓塞性中风的有效策略.
- 这一案例强调了对罕见的中风原因的诊断和治疗考虑.
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