首页> 美国卫生研究院文献>The Journal of Neurology and Psychopathology >Dissection of the extracranial vertebral artery: report of four cases and review of the literature.
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Dissection of the extracranial vertebral artery: report of four cases and review of the literature.

机译:颅外椎动脉解剖:四例报告并文献复习。

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摘要

Four cases of cervical vertebral artery (VA) dissection are reported. In three patients VA dissection was associated with neck trauma. All patients were young or middle-aged (range 27 to 49 years). In two there was a history of migraine. Pain preceded neurological symptoms from hours to six weeks. Three patients had neurological deficits including elements of the lateral medullary syndrome, and one experienced recurrent transient ischaemic attacks in the vertebrobasilar territory. Angiographic findings included irregular stenosis, occlusion and pseudoaneurysm; in two patients VA abnormalities were bilateral. All patients were treated with anticoagulants and improved. In a review of 28 cases with traumatic dissection and 29 cases with spontaneous dissection of the VA reported in the literature, distinct clinical and angiographic features emerge. Aetiology remains obscure in most cases of spontaneous dissection and management is still controversial.
机译:据报道有四例颈椎动脉(VA)解剖。在三名患者中,VA解剖与颈部外伤有关。所有患者均为年轻或中年(27至49岁)。有两次有偏头痛史。从数小时到六周,疼痛出现在神经系统症状之前。 3例患者的神经功能缺损,包括外侧髓样综合征的要素,其中1例在椎基底基底区域经历了反复发作的短暂性脑缺血发作。血管造影结果包括不规则狭窄,闭塞和假性动脉瘤。在两名患者中,VA异常是双侧的。所有患者均接受抗凝治疗并得到改善。在文献中报道的28例外伤性解剖和29例自发性VA的回顾中,出现了明显的临床和血管造影特征。在大多数自发性夹层病例中,病因学仍然晦涩难懂,治疗方法仍存在争议。

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