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异常颈内动脉的超声、CT血管造影和磁共振成像:虽不常见但需了解

Ultrasonographic, CTI and MRI of Aberrant Internal Carotid Artery: Infrequent but Important to Know.

作者信息

Schaumberg J, Tomandl B, Brunner F

机构信息

Department of Neurology, Klinikum Bremen-Mitte, Bremen, Germany; Department of Neurology, Asklepios Klinik Hamburg Altona, Hamburg, Germany.

Department of Neuroradiology, Klinikum Bremen-Mitte, Bremen, Germany; Department of Radiology and Neuroradiology, Klinikum Christophsbad, Göppingen, Germany.

出版信息

Int J Angiol. 2016 Dec;25(5):e142-e144. doi: 10.1055/s-0035-1559827. Epub 2015 Aug 14.

DOI:10.1055/s-0035-1559827
PMID:28031680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5186233/
Abstract

This article describes the aberrant course of the internal carotid artery (ICA) through the middle ear as an extremely rare vascular anomaly. On the basis of a case report, the findings of magnetic resonance imaging, computed tomography imaging, and especially color-coded duplex sonography are presented. The diagnosis of an aberrant ICA is important to avoid severe surgical complications of a retrotympanic mass as well as unnecessary diagnostic or therapeutic approaches in expectation of a stroke.

摘要

本文将颈内动脉(ICA)经中耳的异常走行描述为一种极其罕见的血管异常。基于一例病例报告,展示了磁共振成像、计算机断层扫描成像,尤其是彩色编码双功能超声检查的结果。ICA走行异常的诊断对于避免鼓室后肿物的严重手术并发症以及因预期中风而采取的不必要的诊断或治疗方法很重要。

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本文引用的文献

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Recurrent acute otitis media as the manifestation of an aberrant internal carotid artery.复发性急性中耳炎作为颈内动脉异常的表现。
Otol Neurotol. 2013 Oct;34(8):e117-8. doi: 10.1097/MAO.0b013e3182923eeb.
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Diagnosis of congenital aortic arch anomalies in chinese children by multi-detector computed tomography angiography.多层螺旋CT血管造影术诊断中国儿童先天性主动脉弓畸形
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Bilateral aberrant internal carotid arteries with bilateral persistent stapedial arteries and bilateral duplicated internal carotid arteries.双侧异常颈内动脉伴双侧镫骨动脉持续存在及双侧颈内动脉重复。
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Ectopic internal carotid artery seen initially as middle ear tumor.最初表现为中耳肿瘤的异位颈内动脉。
JAMA. 1983;249(16):2228-30.
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Presentation of the internal carotid artery as a tumor of the middle ear.
Radiology. 1971 Feb;98(2):293-7. doi: 10.1148/98.2.293.