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患者颈内动脉发育不全并动静脉吻合，发生急性梗死。

Acute infarction in a patient with agenesis of the internal carotid artery and transcavernous anastomosis.

机构信息

Department of Radiology, Keimyung University Dongsan Hospital, College of Medicine, 216 Dalsung-ro, Jung-gu, Daegu, Republic of Korea.

出版信息

J Clin Neurosci. 2012 Apr;19(4):597-9. doi: 10.1016/j.jocn.2011.07.034. Epub 2012 Jan 28.

DOI:10.1016/j.jocn.2011.07.034
PMID:22285476
Abstract

A 70-year-old man presented with left-sided weakness and dysarthria. His brain MRI and magnetic resonance angiography demonstrated acute infarctions in the bilateral middle cerebral artery territories in a setting of agenesis of the right internal carotid artery (ICA) with transcavernous anastomosis, a rare developmental anomaly. In this setting, atherosclerotic disease in the unilateral common carotid artery or ICA can induce acute infarctions in the bilateral anterior circulation.

摘要

一位 70 岁男性出现左侧无力和构音障碍。他的脑部 MRI 和磁共振血管造影显示，在右侧颈内动脉（ICA）发育不全伴海绵窦吻合的情况下，双侧大脑中动脉区域出现急性梗死，这是一种罕见的发育异常。在这种情况下，单侧颈总动脉或 ICA 的动脉粥样硬化疾病可导致双侧前循环的急性梗死。

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