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病例报告：颈内动脉夹层继发血栓形成的巨大海绵窦段颈动脉瘤：一种罕见病例。

Case report: Thrombosed giant cavernous carotid artery aneurysm secondary to cervical internal carotid artery dissection: An unusual entity.

作者信息

Baldawa Sachin S, Pendharkar Hima, Menon Girish R, Nair Suresh R

机构信息

Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

出版信息

Indian J Radiol Imaging. 2011 Jul;21(3):225-7. doi: 10.4103/0971-3026.85373.

DOI:10.4103/0971-3026.85373
PMID:22013300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3190497/
Abstract

Spontaneous thrombosis of a giant intracranial aneurysm with parent artery occlusion is known. The exact mechanism is however unclear and various theories have been proposed. We present an unusual case of an angiographically documented cervical internal carotid artery (ICA) dissection, which led to total occlusion of the ICA distal to the dissected site, with acute cessation of forward blood flow. This resulted in acute upstream thrombosis of the giant cavernous carotid artery aneurysm and an acute cavernous sinus syndrome-like presentation.

摘要

巨大颅内动脉瘤伴载瘤动脉闭塞的自发性血栓形成是已知的。然而，确切机制尚不清楚，已经提出了各种理论。我们报告一例血管造影记录的颈内动脉夹层的罕见病例，该夹层导致夹层部位远端的颈内动脉完全闭塞，前向血流急性停止。这导致巨大海绵窦段颈内动脉瘤急性上游血栓形成，并出现类似急性海绵窦综合征的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aba/3190497/7c9b6f0fb5bb/IJRI-21-225-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aba/3190497/94572b629246/IJRI-21-225-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aba/3190497/7c9b6f0fb5bb/IJRI-21-225-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aba/3190497/94572b629246/IJRI-21-225-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aba/3190497/7c9b6f0fb5bb/IJRI-21-225-g002.jpg

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Radiat Med. 2002 Sep-Oct;20(5):261-3.
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Spontaneous thrombosis of intracavernous internal carotid artery aneurysm and parent artery occlusion in patients with positive balloon test occlusion--two case reports.球囊试验闭塞阳性患者海绵窦段颈内动脉动脉瘤自发性血栓形成及载瘤动脉闭塞——两例报告
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