一例表现为急性卒中的陈旧性颈内动脉夹层动脉瘤。
An old dissecting aneurysm of the internal carotid artery presenting as acute stroke.
作者信息
Peeters Andre, Goffette Pierre, Dorban Stéphanie, Sindic Christian J, Cosnard Guy
机构信息
Department of Neurology, Cliniques universitaires St Luc, Brussels, Belgium.
出版信息
Acta Neurol Belg. 2003 Sep;103(3):179-82.
BACKGROUND
In carotid artery dissections, local and ischemic manifestations usually occur within days or weeks. In some cases, persistent extracranial aneurysms cause thromboembolic complications even years after the initial event. The management of these aneurysms is still controversial.
CASE DESCRIPTION
We report the case of a 74 year old woman with a stroke due to a long standing giant dissecting aneurysm of the internal carotid artery. Medical management was insufficient to stop ongoing embolization. She was finally successfully treated with stenting.
CONCLUSION
Carotid artery aneurysms can become symptomatic even after many years of silence. Once medical therapy fails, endovascular treatment can avoid recurrent embolization.
背景
在颈动脉夹层中，局部和缺血性表现通常在数天或数周内出现。在某些情况下，即使在初始事件发生数年之后，持续性颅外动脉瘤仍会导致血栓栓塞并发症。这些动脉瘤的治疗仍存在争议。
病例描述
我们报告了一例74岁女性患者，因长期存在的颈内动脉巨大夹层动脉瘤导致中风。药物治疗不足以阻止持续的栓塞。她最终通过支架置入术成功治疗。
结论
颈动脉动脉瘤即使在多年无症状后也可能出现症状。一旦药物治疗失败，血管内治疗可避免复发性栓塞。
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