Department of Neurology, Fujisawa City Hospital, Fujisawa, Yokohama City, Japan.
J Stroke Cerebrovasc Dis. 2013 Oct;22(7):1193-5. doi: 10.1016/j.jstrokecerebrovasdis.2012.07.005. Epub 2012 Aug 29.
A 65-year-old man developed progressive worsening of right-sided limb-kinetic apraxia and extrapyramidal dysfunction. His left internal carotid artery was found to be occluded, and there was general atrophy and severely decreased cerebral blood flow in the left hemisphere. He had experienced an acute infarction in the left watershed area before superficial temporal artery to middle cerebral artery bypass surgery. After surgery, the cerebral blood flow in the left hemisphere was remarkably improved. Unilateral internal carotid artery occlusion may result in clinical manifestations similar to corticobasal degeneration.
一位 65 岁男性出现右侧肢体运动性失用症和锥体外系功能障碍进行性加重。发现其左侧颈内动脉闭塞，左侧大脑半球出现普遍萎缩和脑血流量严重减少。在颞浅动脉至大脑中动脉搭桥术之前，他曾经历过左侧分水岭区的急性梗死。手术后，左侧大脑半球的脑血流量显著改善。单侧颈内动脉闭塞可能导致类似于皮质基底节变性的临床表现。
