Kim Hyangkyoung, Cho Yong-Pil, Moon Ki-Myung, Kwon Tae-Won
Department of Surgery, Chung-Ang University Seoul, Korea.
Vascular. 2013 Feb;21(1):23-6. doi: 10.1258/vasc.2011.cr0274. Epub 2011 Nov 18.
This report describes a case of a delayed cerebral embolic infarction, after internal carotid artery (ICA) ligation secondary to carotid body tumor resection. We describe a 34-year-old woman who underwent left ICA ligation during a large carotid body tumor surgery. Immediately after surgery, the patient was neurologically asymptomatic; however, she subsequently developed a cerebral embolic infarction nine hours postoperatively. After beginning antiplatelet therapy, all symptoms ultimately resolved, although over a gradual course. Since the ligation of the ICA can cause thromboembolic infarctions of the cerebrum, we contend that antiplatelet agents be administered to prevent and/or treat embolic strokes.
本报告描述了一例因颈动脉体瘤切除继发颈内动脉（ICA）结扎后发生延迟性脑栓塞梗死的病例。我们报告一名34岁女性，在进行大型颈动脉体瘤手术期间接受了左ICA结扎。术后即刻，患者神经功能无症状；然而，她随后在术后9小时发生了脑栓塞梗死。开始抗血小板治疗后，所有症状最终均得以缓解，尽管过程较为缓慢。由于ICA结扎可导致大脑血栓栓塞性梗死，我们主张使用抗血小板药物预防和/或治疗栓塞性中风。
