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惊厥性晕厥作为颈动脉体瘤的首发症状:病例系列

Convulsive syncope as presenting symptom of carotid body tumors: Case series.

作者信息

Beigi Ali Akbar, Ashtari Fereshteh, Salari Mehri, Norouzi Rasul

机构信息

Department of Vascular Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2013 Feb;18(2):164-6.

PMID:23914220
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3724378/
Abstract

Carotid body tumor (CBT) is paraganglioma and mainly found in the carotid bifurcation. The manifestations of the tumor are variable; in most cases, it presents as a non-symptomatic slow-growing mass, rarely compression of carotid body induces bradycardia and hypotension and repeated syncope, prolonged syncope can cause convulsion. Convulsive syncope occurred in 0.03% of patients with syncope. In this paper, we report three cases with CBT and convulsive syncope for which surgery was done and patients did not experience syncope again.

摘要

颈动脉体瘤(CBT)是副神经节瘤,主要位于颈动脉分叉处。该肿瘤的表现多样;在大多数情况下,它表现为无症状的缓慢生长肿块,很少有颈动脉体受压引起心动过缓和低血压以及反复晕厥的情况,长时间晕厥可导致抽搐。抽搐性晕厥在晕厥患者中的发生率为0.03%。在本文中,我们报告了3例患有CBT并伴有抽搐性晕厥的病例,这些患者接受了手术治疗,术后未再出现晕厥。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf7e/3724378/48b7f04074d4/JRMS-18-164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf7e/3724378/2f5abf92371d/JRMS-18-164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf7e/3724378/48b7f04074d4/JRMS-18-164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf7e/3724378/2f5abf92371d/JRMS-18-164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf7e/3724378/48b7f04074d4/JRMS-18-164-g002.jpg

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本文引用的文献

1
Syncope and ictal asystole caused by temporal lobe epilepsy.颞叶癫痫所致晕厥与发作性心搏停止
Circ J. 2011;75(10):2508-10. doi: 10.1253/circj.cj-11-0261. Epub 2011 Jul 12.
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Bilateral carotid body paragangliomas.双侧颈动脉体副神经节瘤
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Diagnosis and surgical treatment of carotid body tumor: A report of 18 cases.颈动脉体瘤的诊断与外科治疗:附18例报告
颈动脉体瘤的外科治疗:一家机构采用多学科方法的15年经验
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J Vasc Surg. 2009 Jul;50(1):177-82. doi: 10.1016/j.jvs.2009.03.029.
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AJNR Am J Neuroradiol. 2008 Aug;29(7):1349-54. doi: 10.3174/ajnr.A1092. Epub 2008 Apr 16.
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Fever as the main presenting symptom of a carotid body tumor.
Arch Iran Med. 2008 Mar;11(2):214-7.
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Familial bilateral carotid body tumors.家族性双侧颈动脉体瘤
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