Laloux P, Remacle M, Delos M
Service de Neurologie, Cliniques Universitaires de Mont-Godinne, Belgique.
Rev Neurol (Paris). 1992;148(8-9):560-2.
A 72 year-old-man presented with right hemiparesis and global aphasia related to a large infarct in the left middle cerebral artery territory. A left carotid angiography revealed internal carotid artery occlusion and vascular blush just below the base of the skull. The blush was supplied by branches from the external carotid artery. Cervical CT-scan showed a large tumor centered by the left internal carotid artery. At cervical surgery, the internal carotid artery was compressed and infiltrated by the tumoral process: a benign paraganglioma. The site below the base of the skull and the connection between tumor and vagal nerve suggested a vagal paraganglioma. To our knowledge, this is the first case of cerebral infarction and internal carotid artery occlusion revealing a vagal paraganglioma.
一名72岁男性因左侧大脑中动脉区域大面积梗死出现右侧偏瘫和完全性失语。左侧颈动脉血管造影显示颈内动脉闭塞，颅底下方有血管造影剂外溢。该造影剂外溢由颈外动脉分支供血。颈部CT扫描显示一个以左侧颈内动脉为中心的大肿瘤。颈部手术时发现颈内动脉被肿瘤压迫并受其浸润：为良性副神经节瘤。肿瘤位于颅底下方以及肿瘤与迷走神经的连接情况提示为迷走神经副神经节瘤。据我们所知，这是首例以脑梗死和颈内动脉闭塞为表现的迷走神经副神经节瘤病例。
