病例报告：左侧颈内动脉闭塞伴同侧双侧附属大脑中动脉血栓切除术。

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2024-11-06 DOI:10.1007/s00701-024-06338-x

Jota Tega, Yoshinobu Horio, Koichiro Suzuki, Yuta Oka, Koichiro Takemoto, Hiroshi Abe

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引用次数: 0

摘要

在 0.3-4.0% 的病例中会发现大脑附属中动脉 (AMCA)，而同侧双 AMCA 则非常罕见。一名七十三岁的男子出现右侧偏瘫和完全性失语。磁共振血管造影显示左侧颈动脉闭塞。我们为他输注了组织纤溶酶原激活剂。数字减影血管造影显示左侧颈内动脉血管再通。但是，左侧大脑前动脉近端闭塞。我们进行了机械血栓切除术，实现了部分再灌注。第十天的CT血管造影显示同侧双AMCA。由于大脑中动脉异常，我们采用了比其他技术更安全的接触式抽吸法进行机械血栓切除术。

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Case report: thrombectomy for left internal carotid artery occlusion with ipsilateral dual accessory middle cerebral arteries

Accessory middle cerebral arteries (AMCAs) are found in 0.3–4.0% of cases, and ipsilateral dual AMCAs are rare. A seventy-three-year-old man presented with right hemiplegia and total aphasia. Magnetic resonance angiography showed left carotid artery occlusion. We infused him with tissue plasminogen activator. Digital subtraction angiogram showed revascularization of the left internal carotid artery. However, the left proximal anterior cerebral artery was occluded. We performed mechanical thrombectomy and achieved partial reperfusion. CT angiography on the tenth day showed ipsilateral dual AMCAs. Due to middle cerebral artery anomalies, we performed mechanical thrombectomy using contact aspiration which is safer than other techniques.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.