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颈动脉先天性异常的罕见组合：了解胚胎学及临床关联

A rare combination of carotid artery congenital abnormalities: understanding the embryology and clinical associations.

作者信息

McEachen James C, Obrzut Michal, Bokhari S Jamal

机构信息

Department of Diagnostic Radiology, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, CT 06520-8042, USA.

出版信息

Emerg Radiol. 2009 Sep;16(5):411-4. doi: 10.1007/s10140-008-0756-8. Epub 2008 Aug 6.

DOI:10.1007/s10140-008-0756-8
PMID:18682997
Abstract

Duplication of an extracranial internal carotid artery, a retropharyngeal carotid transposition, an aberrant internal carotid artery in the middle ear, and a persistent stapedial artery are each individually uncommon vascular variants. In this case report, we discuss a rare occurrence of all four of these variants in a single individual who presented to our emergency department with a complaint of dizziness and a recent fall. Included in the discussion is pertinent embryology and clinical associations.

摘要

颅外颈内动脉重复、咽后颈动脉转位、中耳内颈内动脉异常及镫骨动脉持续存在均为各自独立的少见血管变异。在本病例报告中，我们讨论了一名因头晕和近期跌倒前来我院急诊科就诊的患者罕见地同时出现这四种变异的情况。讨论内容包括相关胚胎学及临床关联。

相似文献

1
A rare combination of carotid artery congenital abnormalities: understanding the embryology and clinical associations.颈动脉先天性异常的罕见组合：了解胚胎学及临床关联
Emerg Radiol. 2009 Sep;16(5):411-4. doi: 10.1007/s10140-008-0756-8. Epub 2008 Aug 6.
2
A case of an aberrant internal carotid artery with a persistent stapedial artery: association of hypoplasia of the A1 segment of the anterior cerebral artery.一例伴镫骨动脉持续存在的颈内动脉异常：大脑前动脉A1段发育不全的关联。
Surg Radiol Anat. 2012 Sep;34(7):665-70. doi: 10.1007/s00276-011-0912-9. Epub 2011 Dec 4.
3
Management of a nontraumatic extracranial internal carotid aneurysm with external carotid transposition.颈外动脉转位治疗非外伤性颈内动脉外膜瘤。
J Vasc Surg. 2010 Feb;51(2):465-7. doi: 10.1016/j.jvs.2009.07.107. Epub 2009 Sep 26.
4
Bilateral aberrant internal carotid artery case presentation.
Arch Otolaryngol Head Neck Surg. 1993 Mar;119(3):335-9. doi: 10.1001/archotol.1993.01880150091013.
5
Spontaneous extracranial internal carotid artery aneurysm: a case report.自发性颅外颈内动脉瘤：一例报告。
West Indian Med J. 2013 Sep;62(7):667-71. doi: 10.7727/wimj.2012.072.
6
Bilateral asymptomatic extracranial carotid artery aneurysms.
Ann Vasc Surg. 2010 Jul;24(5):691.e11-6. doi: 10.1016/j.avsg.2010.02.004. Epub 2010 Apr 21.
7
[Radiological study of the internal carotid artery].
Rev Prat. 1993 Dec 1;43(19):2475-80.
8
Extracranial internal carotid artery pseudoaneurysm.颅外颈内动脉假性动脉瘤
Int J Pediatr Otorhinolaryngol. 2005 Aug;69(8):1135-9. doi: 10.1016/j.ijporl.2005.03.001.
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Carotid transposition: another cause of wide retropharyngeal soft tissues.颈动脉移位：咽后软组织增宽的另一个原因。
AJR Am J Roentgenol. 1996 Nov;167(5):1305-7. doi: 10.2214/ajr.167.5.8911201.
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[Iatrogenic internal carotid artery pseudoaneurysm as a complication of myryngotomy in 6-years-old boy].[医源性颈内动脉假性动脉瘤作为一名6岁男孩鼓膜切开术的并发症]
Otolaryngol Pol. 2012 Sep-Oct;66(5):368-72. doi: 10.1016/j.otpol.2012.06.006. Epub 2012 Jun 9.

引用本文的文献

1
Anatomical variations of origin of the internal carotid artery: Report of two cases and systematic review of the literature.颈内动脉起源的解剖变异：两例报告及文献系统综述
Vascular. 2024 Sep 18;33(5):17085381241283095. doi: 10.1177/17085381241283095.
2
Persistent stapedial arteries in human: from phylogeny to surgical consequences.人类永存镫骨动脉：从系统发育到手术后果
Surg Radiol Anat. 2013 Dec;35(10):883-91. doi: 10.1007/s00276-013-1127-z. Epub 2013 May 3.
3
Display with 64-detector MDCT angiography of cerebral vascular variations.

本文引用的文献

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Aortic development and anomalies.主动脉发育与异常。
Semin Intervent Radiol. 2007 Jun;24(2):141-52. doi: 10.1055/s-2007-980040.
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Anomalous course of the carotid arteries in the retropharyngeal space poses a surgical risk.
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Stenting in the remnant of the third aortic arch in a case of post-irradiation occluded internal carotid artery.放疗后颈内动脉闭塞病例中对第三主动脉弓残余部分进行支架置入术。
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Pseudofenestration of the cervical internal carotid artery: a pathologic process that simulates an anatomic variant.
颈内动脉假性开窗：一种模拟解剖变异的病理过程。
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Case 67: Persistent stapedial artery.病例67：镫骨动脉持续存在。
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Persistent stapedial artery: MR angiographic and CT findings.永存镫骨动脉：磁共振血管造影及CT表现
AJNR Am J Neuroradiol. 2003 Jun-Jul;24(6):1133-5.
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Bilateral aberrant internal carotid arteries with bilateral persistent stapedial arteries and bilateral duplicated internal carotid arteries.双侧异常颈内动脉伴双侧镫骨动脉持续存在及双侧颈内动脉重复。
AJNR Am J Neuroradiol. 2003 Apr;24(4):762-5.
8
Aberrant internal carotid artery in the middle-ear space.中耳间隙内的异常颈内动脉。
J Laryngol Otol. 2000 Oct;114(10):784-7. doi: 10.1258/0022215001903924.
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The persistent stapedial artery.永存镫骨动脉。
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Multichannel fenestrations of the petrous segment of the internal carotid artery.颈内动脉岩骨段的多通道开窗术。
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