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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Literature Review and Case Report of Intravenous Thrombolysis in Acute Cerebral Infarction Attributed to Cervical Arterial Dissection
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Literature Review and Case Report of Intravenous Thrombolysis in Acute Cerebral Infarction Attributed to Cervical Arterial Dissection

机译：颈动脉解剖急性脑梗死静脉溶栓静脉溶栓的文献综述及案例报告

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摘要

Acute cerebral infarction (ACI) caused by cervical arterial dissection (CAD) is a rare clinical disease. Therapeutic approaches include anticoagulant therapy, antiplatelet aggregation, and thrombolytic therapy. Currently, anticoagulant therapy or antiplatelet aggregation is the primary choice, whereas the thrombolytic therapy is still controversial. In this article, we report a patient with ACI caused by right CAD, which led to a compensatory increase in blood supply to the right middle cerebral artery through the anterior communicating artery. After treatment with intravenous thrombolysis, the clinical symptoms of the patient improved, and the National Institutes of Health Stroke Scale (NIHSS) score declined to 2 points from the initial 14 points. In addition, cranial computed tomography scans showed that there were no signs of intracranial or extracranial hemorrhage, but that the vessel occlusion was still uncured. After 17 days of antiplatelet aggregation treatment, a cranial magnetic resonance angiography scan showed complete recanalization of the right internal carotid artery. Furthermore, the NIHSS score was reduced to 1 point when the patient discharged, and for 3 months of follow-up.
机译：由宫颈动脉解剖（CAD）引起的急性脑梗死（ACI）是一种罕见的临床疾病。治疗方法包括抗凝治疗，抗血小板聚集和溶栓治疗。目前，抗凝血治疗或抗血小板聚集是主要选择，而溶栓治疗仍然存在争议。在本文中，我们向右侧CAD提出的ACI报告了患者，这导致通过前沟通动脉对右中脑动脉的血液供应补偿性增加。在用静脉溶栓治疗后，患者的临床症状得到改善，国家卫生卒中量表（NIHSS）评分从最初的14分下降到2分。此外，颅骨计算机断层扫描扫描表明，没有颅内或颅内出血的迹象，但血管闭塞仍然是未固化的。在抗血小板聚集治疗17天后，颅骨磁共振血管造影扫描显示出右内部颈动脉的完全重新化。此外，当患者排出的患者和3个月后续后，NIHSS得分降至1点。

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