• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Internal Carotid Artery Agenesis with an Intercavernous Anastomosis: A Rare Case
【24h】

Internal Carotid Artery Agenesis with an Intercavernous Anastomosis: A Rare Case

机译：内部颈动脉患有赤藓症吻合：罕见案例

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Agenesis of the internal carotid artery (ICA) is a rare vascular anomaly that was first observed postmortem. Various anastomoses supply the distal vessels at the site of agenesis. Of these anastomoses, an intercavernous anastomosis is very rare. This paper presents a patient with ischemic stroke in whom we discovered left ICA agenesis and an ipsilateral intercavernous anastomosis. Case A 58-year-old man with a history of myocardial infarction and diabetes mellitus presented with sudden-onset difficulty in speaking, numbness on the left side of the face, and weakness of the left arm and leg. Neurological examination revealed dysarthria, left facial paralysis, left hemiparesis, and bilateral absence of the plantar reflexes. Diffusion-weighted magnetic resonance imaging showed a right middle cerebral artery (MCA) infarction. On cranial and cervical magnetic resonance angiography, the left ICA could not be seen distal to the bifurcation; the left MCA was supplied through an intercavernous anastomosis between the right ICA and the left ICA. Cranial computed tomography (CT) revealed the absence of the left carotid canal. Digital subtraction angiography led to a diagnosis of left ICA agenesis with an intercavernous anastomosis. The patient was discharged on acetylsalicylic acid and warfarin. Conclusion ICA agenesis with an intercavernous anastomosis is a rare vascular anomaly that should be differentiated from secondary causes of ICA stenosis and occlusions by showing agenesis of the carotid canal on cranial CT. ]]>
机译：背景颈动脉（ICA）的背景性是一种罕见的血管异常，首次观察到后期后期。各种吻合术在妊娠部位供应远端血管。在这些吻合术中，赤壁吻合术是非常罕见的。本文呈现患有缺血性卒中的患者，我们发现了左右的ICA症和同侧赤产儿吻合术。案例是一个58岁的男子，患有心肌梗死史和糖尿病患者突然发表困难，在脸部的左侧麻木，左臂和腿部的弱点。神经学检查揭示了讨厌，左侧瘫痪，左偏瘫，以及跖射的双侧没有。扩散加权磁共振成像显示出右中脑动脉（MCA）梗死。在颅骨和颈椎磁共振血管造影上，左侧ICA无法看到分叉的远端;左类MCA通过右侧ICA和左侧ICA之间的跨扫描吻合供应。颅骨计算机断层扫描（CT）揭示了左颈动管的缺失。数字减法血管造影导致左侧ICA患者的诊断，具有赤壁吻合术。患者在乙酰胱氨酸和华法林上排出。结论ICA患有跨扫描吻合术是一种罕见的血管异常，应通过显示颅型CT的颈动力患者来分化从ICA狭窄和闭塞的二次成因。 ]]>

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号