Mokri B
Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
J Neurol. 1990 Oct;237(6):356-61. doi: 10.1007/BF00315659.
Seventy patients with spontaneous and 21 with traumatic extracranial internal carotid artery dissections were studied clinically and angiographically with mean follow-ups of 64 (spontaneous group) and 40 months (traumatic group). Sixty percent of the patients in the spontaneous group and 71% in the traumatic group also had follow-up angiograms. In traumatic dissections aneurysms were common, significantly fewer aneurysms resolved or became smaller and fewer stenoses resolved or improved, whereas more stenoses progressed to occlusion. Traumatic dissections were more likely to leave the patients with neurological deficits. A significantly higher percentage of the patients with spontaneous dissections were asymptomatic at follow-up compared with the traumatic group. Although both spontaneous and traumatic dissections of extracranial internal carotid arteries mostly carry a good prognosis, the outcome may be somewhat less favorable for the traumatic group.
对70例自发性和21例创伤性颅外颈内动脉夹层患者进行了临床和血管造影研究，自发性组平均随访64个月，创伤性组平均随访40个月。自发性组60%的患者和创伤性组71%的患者也进行了随访血管造影。在创伤性夹层中动脉瘤很常见，动脉瘤消退或变小的情况明显较少，狭窄消退或改善的情况也较少，而更多的狭窄进展为闭塞。创伤性夹层更容易使患者遗留神经功能缺损。与创伤性组相比，自发性夹层患者在随访时无症状的比例显著更高。虽然颅外颈内动脉的自发性和创伤性夹层大多预后良好，但创伤性组的结果可能略逊一筹。
