Aronov Moisey, Shevchenko Natalia S, Amosova Natalia A, Kotenko Konstantin V
Department of Endovascular, State Research Center Burnasyan FMBC of the FMBA of Russia, Moscow, Russian Federation.
Department of Vascular Neurology, State Research Center Burnasyan FMBC of the FMBA of Russia, Moscow, Russian Federation.
BMJ Case Rep. 2014 Jun 23;2014:bcr2014203725. doi: 10.1136/bcr-2014-203725.
Cervical artery dissection (CAD) is one of the most frequent causes (14.5%) of stroke in young adults. Cases with involvement of more than two arteries are rare. Arnold et al described 11 cases (1.5%) with triple CAD of a reported 740 patients and just a single (0.1%) quadruple case in the same population. Simultaneous dissection of the four principal vessels is extremely rare. According to Papagiannaki et al, the incidence of simultaneous three or four CADs is 1-3/million in the general population. To the best of our knowledge, there are only three published cases of spontaneous quadruple CAD.
颈动脉夹层（CAD）是年轻成年人中风最常见的病因之一（占14.5%）。累及两条以上动脉的病例罕见。阿诺德等人报道，在740例患者中，有11例（1.5%）为三重CAD，而在同一人群中四重CAD仅有1例（0.1%）。四条主要血管同时发生夹层极为罕见。据帕帕吉安纳基等人报道，一般人群中同时发生三重或四重CAD的发生率为百万分之一至三。据我们所知，仅发表过3例自发性四重CAD病例。
