颈动脉支架植入术后雷德尔综合征患者高血压治疗后的肋旁神经痛改善

Hitoaki Sato, K. Ueno, Y. Motoyama, Y. Uozumi, S. Mizobuchi
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引用次数: 0

摘要

背景:虽然有颈动脉夹层后发生雷德尔综合征的报道,但据我们所知,尚未有颈动脉支架置入术后发生雷德尔综合征的报道。病例报告:一名46岁的男性因特发性右颈动脉夹层而紧急接受自扩张支架治疗。然而,患者主诉支架放置后立即出现右眼眶和前额的中度压迫性疼痛。进一步检查发现右眼缩小和右眼上睑下垂。无汗症。雷德尔综合征的诊断是基于部分霍纳综合征和三叉神经第一分支疼痛。我们注意到他有高血压,并开始服用抗高血压药物。在开始服用降压药后,他的血压稳定下来,随着血压的下降,他的眶周疼痛急剧消失。然而,霍纳症状(瞳孔缩小和同侧上睑下垂)仍然存在。结论:我们经历了一例颈动脉支架植入术后发生的雷德尔综合征。高血压治疗后神经痛得到改善。需要注意的是,颈动脉支架植入术后雷德尔综合征的叉旁神经痛可由高血压引起。关键词:降压药物,霍纳综合征,雷德尔综合征,颈动脉支架置入术
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Paratrigeminal Neuralgia that Improved with Treatment of Hypertension in a Patient with Raeder’s Syndrome After Carotid Artery Stenting
BACKGROUND: Although there have been reports of Raeder’s syndrome developing after carotid artery dissection, to our knowledge, no case of Raeder’s syndrome occurring after carotid stenting has been reported. CASE REPORT: A 46-year-old man was urgently treated with a self-expanding stent for idiopathic right carotid artery dissection. However, the patient complained of moderate oppressive pain in the right orbit and forehead immediately after stent placement. Further examination revealed a right eye miosis and right ptosis. No anhidrosis was noted. A diagnosis of Raeder’s syndrome was made based on partial Horner’s syndrome and pain in the first branch of the trigeminal nerve. We noticed that he had hypertension and started antihypertensive medication. After starting the antihypertensive medication, his blood pressure stabilized, and his periorbital pain disappeared dramatically as his blood pressure fell. However, Horner’s symptoms (miosis and ipsilateral ptosis) were still present. CONCLUSION: We experienced a case of Raeder’s syndrome that occurred after stenting of the carotid artery. Neuralgia improved by treatment of hypertension. It should be noted that the paratrigeminal neuralgia of Raeder’s syndrome after carotid stenting can be caused by hypertension. KEY WORDS: Antihypertensive medication, Horner’s symptoms, Raeder’s syndrome, stenting of the carotid artery
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