鞍上颈内动脉开窗合并动脉瘤及缺血性卒中
Fenestration of the supraclinoid internal carotid artery associated with aneurysm and ischemic stroke.
作者信息
Chen Yen-Yu, Chang Feng-Chi, Hu Han-Hwa, Chao A-Ching
机构信息
Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan.
出版信息
Surg Neurol. 2007;68 Suppl 1:S60-3; discussion S63. doi: 10.1016/j.surneu.2007.05.051.
BACKGROUND
Fenestration of the ICA is extremely rare, and the most common associated vascular abnormality is cerebral aneurysm. The relationship between fenestration and ischemic stroke is unknown.
CASE DESCRIPTION
We present a case of a young adult with SAH resulting from a ruptured aneurysm, associated with the bilateral fenestrated supraclinoid ICAs. This case is unusual because of a history of 2 ischemic strokes and the concomitant finding of other vascular abnormalities.
CONCLUSION
Besides associated with aneurysm, ischemic stroke also indicates that fenestration may be a risk factor for thrombus or embolus formation.
背景
颈内动脉开窗极为罕见，最常见的相关血管异常是脑动脉瘤。开窗与缺血性卒中之间的关系尚不清楚。
病例描述
我们报告一例年轻成人因动脉瘤破裂导致蛛网膜下腔出血，与双侧鞍上颈内动脉开窗有关。该病例不同寻常之处在于有两次缺血性卒中病史以及同时发现其他血管异常。
结论
除了与动脉瘤相关外，缺血性卒中还提示开窗可能是血栓或栓子形成的危险因素。
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