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因剧烈体力活动导致基底动脉夹层引起的急性脑桥梗死：一例源于性交，另一例源于排便。

Acute Pontine Infarction due to Basilar Artery Dissection from Strenuous Physical Effort: One from Sexual Intercourse and Another from Defecation.

作者信息

Kim Su-Ho, Lee Yoon-Soo, Suh Sang-Jun, Lee Jeong-Ho, Ryu Kee-Young, Kang Dong-Gee

机构信息

Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2016 Jun;18(2):100-105. doi: 10.7461/jcen.2016.18.2.100. Epub 2016 Jun 30.

DOI:10.7461/jcen.2016.18.2.100
PMID:27790399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5081493/
Abstract

A basilar artery dissection (BAD) is an extremely rare disease. It can lead to hemorrhage or infarction involving the brain stem, and is often associated with grave outcome. However, little is known about the pathophysiology of BAD, and its proper managements are yet in controversy. Herein, we report on two rare cases of basilar artery dissection from strenuous physical effort; one from sexual intercourse and another from defecation. The treatment modalities and the outcomes are also discussed.

摘要

基底动脉夹层（BAD）是一种极其罕见的疾病。它可导致涉及脑干的出血或梗死，且常伴有严重后果。然而，关于BAD的病理生理学知之甚少，其恰当的治疗方法仍存在争议。在此，我们报告两例因剧烈体力活动引发的罕见基底动脉夹层病例；一例源于性交，另一例源于排便。同时也讨论了治疗方式及结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/19a6070c7ff1/jcen-18-100-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/aa21d1c9367f/jcen-18-100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/eb9a3b576f43/jcen-18-100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/e7ecda6fcb8d/jcen-18-100-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/7d0e9ae19732/jcen-18-100-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/19a6070c7ff1/jcen-18-100-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/aa21d1c9367f/jcen-18-100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/eb9a3b576f43/jcen-18-100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/e7ecda6fcb8d/jcen-18-100-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/7d0e9ae19732/jcen-18-100-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbdd/5081493/19a6070c7ff1/jcen-18-100-g005.jpg

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本文引用的文献

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Two cases of subarachnoid hemorrhage from spontaneous anterior cerebral artery dissection : a case of simultaneous hemorrhage and ischemia without aneurysmal formation and another case of hemorrhage with aneurysmal formation.两例自发性大脑前动脉夹层导致的蛛网膜下腔出血：一例为同时出现出血和缺血且无动脉瘤形成，另一例为伴有动脉瘤形成的出血。
J Cerebrovasc Endovasc Neurosurg. 2014 Jun;16(2):119-24. doi: 10.7461/jcen.2014.16.2.119. Epub 2014 Jun 30.
2
Endovascular coil embolization of parent artery for giant intracranial basilar artery dissection: a case report.经血管内弹簧圈栓塞供血动脉治疗巨大颅内基底动脉夹层：一例报告
Turk Neurosurg. 2012;22(4):483-8. doi: 10.5137/1019-5149.JTN.3830-10.0.
3
Anterior cerebral artery dissection presenting subarachnoid hemorrhage and cerebral infarction.
大脑前动脉夹层分离伴蛛网膜下腔出血和脑梗死。
J Nippon Med Sch. 2012;79(2):153-8. doi: 10.1272/jnms.79.153.
4
Simultaneous occurrence of subarachnoid hemorrhage and cerebral infarction caused by anterior cerebral artery dissection treated by endovascular trapping.经血管内栓塞治疗的大脑前动脉夹层导致的蛛网膜下腔出血和脑梗死同时发生。
Neurol Med Chir (Tokyo). 2010;50(7):574-7. doi: 10.2176/nmc.50.574.
5
Thunderclap headache with orgasm: a case of basilar artery dissection associated with sexual intercourse.性交后出现霹雳样头痛：一例与性交相关的基底动脉夹层病例。
J Emerg Med. 2012 Jul;43(1):e43-7. doi: 10.1016/j.jemermed.2009.08.012. Epub 2009 Oct 8.
6
Management and clinical outcome of acute basilar artery dissection.急性基底动脉夹层的管理与临床结局
AJNR Am J Neuroradiol. 2008 Nov;29(10):1937-41. doi: 10.3174/ajnr.A1243. Epub 2008 Aug 7.
7
Spontaneous basilar artery dissection.自发性基底动脉夹层
Hong Kong Med J. 2007 Apr;13(2):144-6.
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Stenting for vertebrobasilar dissection: a possible treatment option for nonhemorrhagic vertebrobasilar dissection.椎动脉-基底动脉夹层的支架置入术：非出血性椎动脉-基底动脉夹层的一种可能治疗选择。
Neuroradiology. 2007 Feb;49(2):149-56. doi: 10.1007/s00234-006-0169-x. Epub 2006 Nov 28.
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Treatment of acute intracranial vertebrobasilar dissection with angioplasty and stent placement: report of two cases.血管成形术和支架置入术治疗急性颅内椎基底动脉夹层：两例报告
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