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伴有脑桥穿支通畅且无明显脑干梗死的创伤性基底动脉受压:1例罕见病例报告

Traumatic basilar artery entrapment with patency of pontine perforators and absence of significant brainstem infarction: report of an unusual case.

作者信息

Kliesch Stefan, Bauknecht Christian, Bohner Georg, Liebig Thomas, Siebert Eberhard

机构信息

Department of Neuroradiology, Charite Universitatsmedizin Berlin, Berlin, Germany.

出版信息

BMJ Case Rep. 2016 Sep 19;2016:bcr2016012558. doi: 10.1136/bcr-2016-012558.

Abstract

We report a rare case of entrapment of the basilar artery into the sphenoid bone caused by a longitudinal fracture of the clivus. Using high resolution three-dimensional flat panel angiography, we show preservation of the basilar artery perforators in spite of severe stenosis of the entrapped segment of the basilar artery. There were no obvious signs and symptoms of posterior fossa stroke clinically or radiographically as far as could be assessed under given clinical circumstances.

摘要

我们报告了一例罕见的因斜坡纵向骨折导致基底动脉陷入蝶骨的病例。通过高分辨率三维平板血管造影,我们发现尽管基底动脉被困段严重狭窄,但基底动脉穿支得以保留。在给定临床情况下,就目前所能评估的而言,临床上和影像学上均未发现明显的后颅窝卒中迹象和症状。

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