可逆性颅外颈内动脉和大脑中动脉血管痉挛导致的复发性缺血性中风:病例报告

IF 2.3 4区 医学 Q3 CLINICAL NEUROLOGY
Aini He, K. Dong, Wenbo Zhao, Benke Zhao, Wei Sun, Xiao Wu, Xia Lu, Yanfei Chen, Haiqing Song
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引用次数: 0

摘要

特发性颈内动脉(ICA)血管痉挛是缺血性中风的罕见病因。其病理生理学尚不清楚,诊断和治疗方案也尚未确定。一名 45 岁的男性患者反复出现一过性头晕、视力模糊和言语障碍,被诊断为双侧 ICA 和大脑中动脉(MCA)血管痉挛引起的复发性缺血性卒中,血管超声和成像技术在短时间内发现了可逆性改变。本病例强调了将特发性 ICA 血管痉挛视为复发性缺血性卒中潜在病因的重要性,即使缺乏常见的诊断标志物。该病例还表明,尽管罕见,但 MCA 也可能受累于这种情况。因此,对类似临床表现的特发性 ICA 血管痉挛保持高度怀疑并探索更具包容性的诊断标准至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recurrent ischemic stroke from reversible extracranial internal carotid artery and middle cerebral artery vasospasm: A case report
Idiopathic internal carotid artery (ICA) vasospasm is a rare cause of ischemic stroke. Its pathophysiology remains unclear and diagnostic and treatment protocols are yet to be defined. A 45-year-old male, presenting with recurrent transient dizziness, blurred vision, and speech disturbances, was diagnosed with recurrent ischemic stroke caused by bilateral ICA and middle cerebral artery (MCA) vasospasm, and the vascular ultrasound and imaging techniques have grabbed the reversible changes in a short time. This case underscores the importance of considering idiopathic ICA vasospasm as a potential cause of recurrent ischemic stroke, even in the absence of common diagnostic markers. The case also indicates the possible, albeit rare, involvement of the MCA in this condition. Therefore, it is crucial to maintain a high index of suspicion for idiopathic ICA vasospasm in similar clinical presentations and to explore more inclusive diagnostic criteria.
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来源期刊
Brain Circulation
Brain Circulation Multiple-
自引率
5.30%
发文量
31
审稿时长
16 weeks
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