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模拟颈动脉夹层的偏头痛性痉挛：磁共振血管造影结果中的一个陷阱。

Migrainous spasm simulating carotid dissection: a pitfall in MR arteriographic findings.

作者信息

Iu P P, Lam H S

机构信息

Department of Radiology, Kwong Wah Hospital, Kowloon, Hong Kong.

出版信息

AJNR Am J Neuroradiol. 2001 Sep;22(8):1550-2.

PMID:11559503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7974563/
Abstract

An MR arteriogram obtained in a patient with migraine headaches during prodrome showed features of carotid dissection. A repeated study conducted within minutes demonstrated complete patency. Vascular spasm was proposed to be the cause. Migraine occurs in more than 10% of the population. The possibility of misdiagnosing a vascular spasm as carotid dissection is real and should be guarded against since there are great prognostic and treatment implications.

摘要

一名偏头痛患者在先兆期进行的磁共振血管造影显示有颈动脉夹层的特征。几分钟内重复进行的检查显示血管完全通畅。推测血管痉挛是病因。偏头痛在超过10%的人群中发生。将血管痉挛误诊为颈动脉夹层的可能性是存在的，由于存在重大的预后和治疗意义，因此应予以警惕。

相似文献

1
Migrainous spasm simulating carotid dissection: a pitfall in MR arteriographic findings.模拟颈动脉夹层的偏头痛性痉挛：磁共振血管造影结果中的一个陷阱。
AJNR Am J Neuroradiol. 2001 Sep;22(8):1550-2.
2
Internal carotid artery dissection associated with pituitary apoplexy: MR findings.与垂体卒中相关的颈内动脉夹层：磁共振成像表现
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3
Spontaneous carotid artery dissection presenting as migraine--a diagnosis not to be missed.以偏头痛为表现的自发性颈动脉夹层——不可漏诊的疾病。
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MR imaging in carotid artery dissection.
J Neurosurg. 1990 Jun;72(6):987-8. doi: 10.3171/jns.1990.72.6.0987.
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Stroke in a young woman due to spontaneous bilateral internal carotid dissection. A case report.青年女性自发性双侧颈内动脉夹层导致的卒中。病例报告。
Ital J Neurol Sci. 1994 Jun;15(5):253-8. doi: 10.1007/BF02342457.
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[Dissection of the carotid artery and vertebral artery--diagnosis and therapy].[颈动脉和椎动脉解剖——诊断与治疗]
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J Neurosurg Case Lessons. 2022 Aug 8;4(6). doi: 10.3171/CASE22254.
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Spontaneous cervical internal carotid artery vasospasm: Case report and literature review.自发性颈内动脉血管痉挛：病例报告及文献综述
Neurol Clin Pract. 2014 Oct;4(5):461-464. doi: 10.1212/CPJ.0000000000000067.
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Reversible cerebral vasoconstriction syndrome: a thunderclap headache-associated condition.可逆性脑血管收缩综合征：一种与霹雳样头痛相关的病症。
Curr Neurol Neurosci Rep. 2009 Mar;9(2):108-14. doi: 10.1007/s11910-009-0018-5.
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MRI and MRA for evaluation of dissection of craniocerebral arteries: lessons from the medical literature.用于评估颅脑血管夹层的磁共振成像和磁共振血管造影：医学文献中的经验教训
Emerg Radiol. 2009 May;16(3):185-93. doi: 10.1007/s10140-008-0770-x. Epub 2008 Oct 1.

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