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首页> 外文期刊>Open Journal of Urology >Spontaneous Extracranial Vertebral Artery Dissociation: A Case Report and Review of the Literature
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Spontaneous Extracranial Vertebral Artery Dissociation: A Case Report and Review of the Literature

机译：自发性颅外椎动脉分离：一例报道并文献复习

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We encountered a 36-year-old female who developed extracranial vertebral artery dissociation (EVAD), which is a rare condition in Japan. The disease developed with sudden severe right side neck pain and right upper arm pain. No abnormality was observed in the spinal canal, intervertebral discs, spinal cord, or nerve roots on MRI of the cervical spine, but dilation and double lumen were noted in the vertebral artery (VA) at the C4/5 level. The presence of aneurysm was confirmed by VA angiography, and EVAD was diagnosed. The symptoms were resolved by conservative treatment of pain, and the aneurysm shrank and disappeared with time on VA angiography. Even though neck and upper limb pain are the only clinical symptom and there is no brain dysfunction, such as disturbance of consciousness and vertigo, when symptoms develop acutely, this pathology should be included in differential diagnosis and orthopedists should carefully observe the vertebral artery, as well as the spinal canal, in evaluating cervical MRI.
机译：我们遇到了一位36岁的女性，该女性发生了颅外椎动脉分离（EVAD），这在日本是罕见的情况。该病发展为突然严重的右侧颈部疼痛和右上臂疼痛。在颈椎MRI的椎管，椎间盘，脊髓或神经根中未观察到异常，但在椎动脉（VA）中以C4 / 5水平观察到扩张和双腔。通过VA血管造影证实了动脉瘤的存在，并诊断出EVAD。通过保守治疗疼痛可缓解症状，VA血管造影可发现动脉瘤随时间收缩和消失。即使颈部和上肢疼痛是唯一的临床症状，并且没有脑部功能障碍，例如意识障碍和眩晕，当症状急性发展时，应将这种病理包括在鉴别诊断中，并且骨科医生应仔细观察椎动脉，如以及椎管，以评估宫颈MRI。

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