Bravo M, Ferrer S, Otipka N
Servicio de Neurología, Hospital Militar, Santiago de Chile.
Rev Med Chil. 1999 Feb;127(2):206-10.
We report a 39 years old male presenting with an intense hemicrania pain in the tract of the carotid artery and Claude Bernard Horner syndrome. The patient had also a high blood pressure. Magnetic resonance imaging demonstrated a left carotid artery fibrodysplastic disease. Conventional angiography of 4 cerebral vessels showed a dissection of the left carotid artery and fibromuscular dysplasia of the left vertebral artery. Renal angiography showed a stenosis and occlusion of renal artery with radiological exclusion of right kidney. On the left side there was a stenosis and occlusion of segmental branches. The diagnostic importance of Claude Bernard Horner syndrome and the need to study renal artery involvement when carotid dissection is accompanied with high blood pressure, is highlighted.
我们报告了一名39岁男性，其表现为颈动脉走行区剧烈偏头痛及Claude Bernard Horner综合征。该患者还患有高血压。磁共振成像显示左侧颈动脉纤维发育不良性疾病。4条脑血管的传统血管造影显示左侧颈动脉夹层及左侧椎动脉纤维肌发育异常。肾血管造影显示肾动脉狭窄和闭塞，影像学检查排除右肾病变。左侧有节段性分支狭窄和闭塞。强调了Claude Bernard Horner综合征的诊断重要性以及当颈动脉夹层伴有高血压时研究肾动脉受累情况的必要性。
