Yamaki T, Takeda M, Takayama H, Nakagaki Y
Department of Neurosurgery, Sunagawa City Medical Center, Hokkaido, Japan.
Clin Neurol Neurosurg. 1990;92(1):90-3. doi: 10.1016/0303-8467(90)90015-w.
Recurrent occlusive stroke of the vertebrobasilar system is reported in a 16-years-old man. Multiple arterial occlusions, segmental stenosis, or irregular dilatation were found in the angiography involving both the intra- and extracranial vertebro-basilar arteries. Surgical specimen of the extracranial vertebral artery with localized irregular lumen disclosed fibroelastic thickening of the intima with mural thrombus, which were thought to be an embolic source. Etiological significance of this intimal lesion in juvenile cerebrosvascular accident is discussed.
一名16岁男性被报道患有椎基底动脉系统复发性闭塞性中风。血管造影显示颅内和颅外椎基底动脉均存在多处动脉闭塞、节段性狭窄或不规则扩张。颅外椎动脉手术标本显示局部管腔不规则，内膜纤维弹性增厚并伴有壁血栓形成，这些被认为是栓子来源。本文讨论了这种内膜病变在青少年脑血管意外中的病因学意义。
