自发的额外内 Carotid 动脉剖析 仅与突然发作脉性耳呈现
Tomohisa Okada1, Hiroaki Hamada1, Shunichi Tanaka1
1Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
NMC case report journal
|September 22, 2025
概括
突然,孤立的脉动性耳声可能表明自发的内动脉剖析 (sICAD). 这种罕见的疾病,通常影响中年人,可以呈现异常,突出需要彻底的诊断.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 自发性内动脉解剖 (sICAD) 是罕见的,通常影响中年人.
- 虽然往往是单边的,但10-20%的sICAD病例涉及双边动脉.
- 常见的症状包括部疼痛,缺血事件和霍纳综合征;脉动性耳声是罕见的,通常伴有其他症状.
研究的目的:
- 报告一种单一的双边sICAD病例,仅表现为突然发作的单边脉动性耳声.
- 为了强调孤立的脉动性耳在sICAD的诊断价值.
主要方法:
- 一个50岁的男性患有孤立的脉动性耳声的病例报告.
- 诊断成像包括磁共振血管造影 (MRA).
- 治疗包括阿姆洛迪平和阿司匹林.
主要成果:
- 通过MRA确定了双边额外内动脉剖析与严重的右内动脉狭窄.
- 患者在治疗后经历了 tinnitus 的逐渐改善和狭窄症的解决.
- 随访MRA证实了虚假光线和轻度残留狭窄的分离.
结论:
- 突然发病的,孤立的单边脉动性耳声可能是非典型但显著的sICAD症状.
- 这一案例强调了在对不明原因的脉动性耳的差异诊断中考虑sICAD的重要性.
- 早期诊断和管理对于sICAD的良好结果至关重要.
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