Pastuszak Żanna, Stępień Adam, Kordowska Joanna, Rolewska Agnieszka, Galbarczyk Dariusz
Military Institute of Medicine, Neurology Department, Szaserów 128, Warsaw, Poland.
Department of Neurology, Central Clinical Hospital of the Ministry of National Defense, Military Institute of Medicine, Warsaw, Poland.
Open Med (Wars). 2017 Apr 4;12:58-61. doi: 10.1515/med-2017-0011. eCollection 2017.
Brain stroke connected with aortic blood flow disturbances is a rare disease and its incidence is difficult to assume. Nevertheless, 10-50% of patients with aortic dissection may not experience any pain. In case of 18-30% patients with aortic dissection neurological signs are first disease presentation and among them ischemic stroke is the most common. The most popular aortic dissection classification is with use of Stanford system. Type A involves the ascending aorta and type B is occurring distal to the subclavian artery. Aortic dissection risk factors include hypertension, cystic medionecrosis, bicuspid aortic valve and Marfan's or Ehlers-Danlos syndrome.
与主动脉血流紊乱相关的脑卒是一种罕见疾病，其发病率难以预估。然而，10%至50%的主动脉夹层患者可能没有任何疼痛症状。在18%至30%的主动脉夹层患者中，神经症状是首发表现，其中缺血性脑卒中最为常见。最常用的主动脉夹层分类方法是采用斯坦福系统。A型累及升主动脉，B型发生于锁骨下动脉远端。主动脉夹层的危险因素包括高血压、囊性中层坏死、二叶式主动脉瓣以及马凡氏综合征或埃勒斯-当洛综合征。
