一例伴有颈内动脉颅内段闭塞的“青年卒中”：偏头痛中夹层形成的发病机制启示

A case of "young stroke" with ICA intracranial occlusion: pathogenetic implication for dissection in migraine.

作者信息

Casto L, Ferraro B, Camerlingo M, Gazzaniga G C, Moschini L, Mamoli A

机构信息

Divisione di Neurologia II, Ospedali Riuniti, Bergamo.

出版信息

Riv Neurol. 1989 Sep-Oct;59(5):172-5.

PMID:2635367

Abstract

The case of a "young stroke" affecting a 22 years old man is reported. Essential clinical features were drowsiness, headache, motor aphasia, right hemiparesis and Claude-Bernard-Horner in the left eye. An extensive investigative protocol was carried out which revealed an occlusion of the intracranial left ICA with subsequent recanalization. The possible causes of the stroke (migraine, dissection or combination of both) are discussed and the importance of a complete evaluation of patients of this kind is stressed.

摘要

报告了一例影响一名22岁男性的“青年卒中”病例。主要临床特征为嗜睡、头痛、运动性失语、右侧偏瘫以及左眼霍纳综合征。开展了广泛的检查方案，结果显示颅内左侧颈内动脉闭塞并随后再通。讨论了卒中的可能病因（偏头痛、动脉夹层或两者兼有），并强调了对此类患者进行全面评估的重要性。