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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Cerebral infarction in both carotid and vertebrobasilar territories associated with a persistent primitive hypoglossal artery with severe dilated cardiomyopathy
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Cerebral infarction in both carotid and vertebrobasilar territories associated with a persistent primitive hypoglossal artery with severe dilated cardiomyopathy

机译:伴有持续性原始舌下动脉伴严重扩张型心肌病的颈动脉和椎基底动脉区域的脑梗塞

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摘要

A persistent primitive hypoglossal artery (PPHA) is a relatively rare vascular anomaly of a persistent carotid-basilar anastomosis. A 76-year-old man with severe dilated cardiomyopathy suddenly lost consciousness. A magnetic resonance imaging scan of his brain revealed extensive infarction in the carotid and vertebrobasilar territories. Magnetic resonance angiography revealed a PPHA and occlusion of the left internal carotid artery and vertebrobasilar artery. Cardioembolic infarction associated with a PPHA should be recognized as a possible cause of multiple infarctions in both the carotid and vertebrobasilar distributions in the absence of stenotic ICA lesions.
机译:持续性原始舌下动脉(PPHA)是持续性颈动脉-基底吻合的相对罕见的血管异常。一名患有严重扩张型心肌病的76岁男子突然失去知觉。磁共振成像扫描他的大脑显示在颈动脉和椎基底动脉区域广泛梗塞。磁共振血管造影显示PPHA和左颈内动脉和椎基底动脉的闭塞。在没有狭窄ICA病变的情况下,与PPHA相关的心栓梗塞应被认为是颈动脉和椎基底动脉分布中多发梗塞的可能原因。

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