Ebata Takuya, Uemura Junichi, Yamazaki Hidekazu, Imai Keisuke, Yagita Yoshiki
Department of Stroke Medicine, Kawasaki Medical School.
Brain Nerve. 2017 Jun;69(6):665-669. doi: 10.11477/mf.1416200798.
A 38-year-old woman developed disturbance of consciousness and quadriplegia. Magnetic resonance images showed scattered acute infarcts in both hemispheres and bilateral occlusion of the intracranial artery (ICA). Immediate mechanical thrombectomy restored the patency of the ICA. Contrast-enhanced computed tomography revealed bilateral wall thickening of the abdominal aorta and the iliac arteries. This finding and an elevated erythrocyte sedimentation rate supported the diagnosis of Takayasu arteritis. Here, we thus report a rare case of Takayasu arteritis with acute bilateral occlusion of the internal carotid arteries.
一名38岁女性出现意识障碍和四肢瘫痪。磁共振成像显示双侧半球散在急性梗死灶以及颅内动脉（ICA）双侧闭塞。立即进行机械取栓术恢复了ICA的通畅。增强计算机断层扫描显示腹主动脉和髂动脉双侧管壁增厚。这一发现以及红细胞沉降率升高支持了高安动脉炎的诊断。在此，我们报告一例罕见的高安动脉炎伴双侧颈内动脉急性闭塞病例。
