跌倒后双侧 Carotid 动脉剖析:一个霍纳综合征的病例在检查中被揭示
Eli Spevack1, Zachary M Weisner2, Evgenia Nokovich2
1Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.
Clinical practice and cases in emergency medicine
|November 5, 2025
概括
创伤性动脉解剖是罕见的,可以呈现出像霍纳综合征这样的微妙迹象. 这一案例突出了延迟的双边陈述,强调了创伤患者高度怀疑和成像的必要性.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 紧急医疗 紧急医疗
背景情况:
- 动脉解剖是关键的血管损伤,涉及内脏的撕裂,可能导致血栓或破裂.
- 创伤性动脉解剖 (TCAD) 是罕见的,并且可以呈现出微妙的症状,如霍纳综合征 (瘤,肌瘤,无水).
- 双边TCAD异常罕见,现有文献中仅有有限的报道.
研究的目的:
- 报告一种罕见的双边创伤性内动脉解剖的罕见病例.
- 为了突出霍纳综合征和TCAD之间的关联.
- 强调早期诊断和治疗在疑似血管损伤的创伤患者的重要性.
主要方法:
- 一个案例报告,一名53岁的女性在摔倒后出现了耳声和部疼痛.
- 身体检查显示了右侧肌和,导致成像.
- 计算机断层扫描 (CT) 血管图和脑血管图用于诊断.
主要成果:
- CT血管图显示了双边的内动脉剖析.
- 大脑血管造影证实了诊断.
- 患者经历了成功的支架安置和医疗管理,在出院时没有缺陷.
结论:
- 创伤性内动脉剖析可能会出现霍纳综合征,需要先进的成像诊断.
- 这个案例为双边TCAD的有限文献做出了贡献,特别是延迟和不对称的症状.
- 在创伤患者中保持血管损伤的高怀疑指数,即使是小的机制,对于及时诊断和干预至关重要.
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