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一名患有高同型半胱氨酸血症的年轻成年人发生自发性孤立性后交通动脉夹层。

Spontaneous isolated posterior communicating artery dissection in a young adult with hyperhomocysteinemia.

作者信息

Duncan Ian C, Terblanché Johannes M

机构信息

Unitas Interventional Unit, Unitas Hospital, Lyttelton, South Africa.

出版信息

AJNR Am J Neuroradiol. 2005 Sep;26(8):2030-2.

PMID:16155154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8148847/
Abstract

A 28-year-old man presented with an acute spontaneous dissection of the left posterior communicating artery with associated ipsilateral thalamic and internal capsular infarctions. Positive risk factors included smoking and family history of ischemic heart disease. He was also found to have hyperhomocysteinemia, which has been implicated as a risk factor for spontaneous cervical artery dissection, but to date, no association has been shown with spontaneous intracranial arterial dissection.

摘要

一名28岁男性因左后交通动脉急性自发性夹层分离并伴有同侧丘脑和内囊梗死前来就诊。阳性危险因素包括吸烟和缺血性心脏病家族史。他还被发现患有高同型半胱氨酸血症,高同型半胱氨酸血症被认为是自发性颈动脉夹层分离的一个危险因素,但迄今为止,尚未发现其与自发性颅内动脉夹层分离有关。

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Spontaneous isolated posterior communicating artery dissection in a young adult with hyperhomocysteinemia.一名患有高同型半胱氨酸血症的年轻成年人发生自发性孤立性后交通动脉夹层。
AJNR Am J Neuroradiol. 2005 Sep;26(8):2030-2.
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Spontaneous extracranial carotid artery dissection in children.儿童自发性颅外颈动脉夹层
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Intracranial Cerebral Artery Dissection of Anterior Circulation as a Cause of Convexity Subarachnoid Hemorrhage.前循环颅内脑动脉夹层作为凸面蛛网膜下腔出血的病因
Cerebrovasc Dis. 2015;40(1-2):45-51. doi: 10.1159/000430945. Epub 2015 Jun 16.
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Isolated anterior cerebral artery territory infarction: dissection as an etiological mechanism.孤立性大脑前动脉供血区梗死:夹层为其病因机制。
Cerebrovasc Dis. 2010 Jan;29(2):170-7. doi: 10.1159/000262314. Epub 2009 Dec 1.
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Carotid dissection: a new false localising sign.颈动脉夹层:一种新的假定位体征。
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Research article: clinical characteristics of isolated anterior cerebral artery territory infarction due to arterial dissection.研究文章:动脉夹层所致孤立性大脑前动脉供血区梗死的临床特征
J Stroke Cerebrovasc Dis. 2014 Nov-Dec;23(10):2907-2913. doi: 10.1016/j.jstrokecerebrovasdis.2014.07.017. Epub 2014 Oct 3.
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[A case of juvenile cerebral infarction caused by bilateral anterior cerebral artery dissection].
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Myriad Cardiac Manifestation of Hyperhomocysteinemia.高同型半胱氨酸血症的多种心脏表现
Cardiol Res. 2015 Apr;6(2):263-265. doi: 10.14740/cr395w. Epub 2015 Apr 6.
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Dissecting aneurysms of posterior communicating artery itself: anatomical, diagnostic, clinical, and therapeutical considerations.后交通动脉本身的夹层动脉瘤:解剖学、诊断、临床和治疗学的考虑。
Neuroradiology. 2013 Sep;55(9):1103-12. doi: 10.1007/s00234-013-1212-3. Epub 2013 Jun 21.

本文引用的文献

1
Cerebral vascular dysfunction mediated by superoxide in hyperhomocysteinemic mice.高同型半胱氨酸血症小鼠中由超氧化物介导的脑血管功能障碍。
Stroke. 2004 Aug;35(8):1957-62. doi: 10.1161/01.STR.0000131749.81508.18. Epub 2004 Jun 3.
2
Mild hyperhomocysteinemia is a risk-factor in all etiological subtypes of stroke.轻度高同型半胱氨酸血症是所有病因亚型中风的一个风险因素。
Neurol Sci. 2004 Apr;25(1):13-7. doi: 10.1007/s10072-004-0219-5.
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Hyperhomocysteinemia, oxidative stress, and cerebral vascular dysfunction.
Stroke. 2004 Feb;35(2):345-7. doi: 10.1161/01.STR.0000115161.10646.67.
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Homocysteine is a risk factor for cerebral small vessel disease, acting via endothelial dysfunction.同型半胱氨酸是脑小血管疾病的一个风险因素,通过内皮功能障碍起作用。
Brain. 2004 Jan;127(Pt 1):212-9. doi: 10.1093/brain/awh023. Epub 2003 Nov 7.
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Hyperhomocysteinemia and its role in the development of atherosclerosis.高同型半胱氨酸血症及其在动脉粥样硬化发展中的作用。
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Homocysteine and cardiovascular disease: evidence on causality from a meta-analysis.同型半胱氨酸与心血管疾病:一项荟萃分析得出的因果关系证据
BMJ. 2002 Nov 23;325(7374):1202. doi: 10.1136/bmj.325.7374.1202.
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Structure of cerebral arterioles in cystathionine beta-synthase-deficient mice.胱硫醚β-合酶缺陷小鼠脑小动脉的结构
Circ Res. 2002 Nov 15;91(10):931-7. doi: 10.1161/01.res.0000041408.64867.1d.
8
Hyperhomocysteinemia: a potential risk factor for cervical artery dissection following chiropractic manipulation of the cervical spine.高同型半胱氨酸血症:颈椎整脊手法治疗后发生颈动脉夹层的潜在危险因素。
J Neurol. 2002 Oct;249(10):1401-3. doi: 10.1007/s00415-002-0851-9.
9
Plasma homocysteine concentration, C677T MTHFR genotype, and 844ins68bp CBS genotype in young adults with spontaneous cervical artery dissection and atherothrombotic stroke.自发性颈内动脉夹层和动脉粥样硬化性血栓形成性卒中的年轻成人血浆同型半胱氨酸浓度、C677T MTHFR基因型和844ins68bp CBS基因型
Stroke. 2002 Mar;33(3):664-9. doi: 10.1161/hs0302.103625.
10
Spontaneous cervical artery dissection: from risk factors toward pathogenesis.
Stroke. 2002 Mar;33(3):657-8.