基底动脉开窗畸形：缺血性卒中一种不常见的可能病因？
Basilar artery fenestration: an unusual possible cause of ischaemic stroke?
作者信息
Wu Xuan, Lin Aiyu, Zhu Jiting, Cai Bin
机构信息
Department of Neurology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
出版信息
BMJ Case Rep. 2018 Feb 12;2018:bcr-2017-222910. doi: 10.1136/bcr-2017-222910.
Abstract
Basilar artery fenestration is an uncommon congenital dysplasia and may be associated with ischaemic stroke. We present a case of a previously healthy 36-year-old man who presented with vertigo and vomiting. MRI showed posterior circulation territory infarction. High-resolution magnetic resonance angiography revealed a slit-like fenestration in the basilar artery. This patient had no traditional vascular risk factors or aetiology of cryptogenic stroke. The patient recovered from his neurological deficit after antiplatelet therapy and was given prophylactic aspirin therapy. There was no recurrence of symptoms after 12 months of follow-up.
摘要
基底动脉开窗畸形是一种罕见的先天性发育异常，可能与缺血性卒中有关。我们报告一例病例，患者为一名36岁既往健康男性，出现眩晕和呕吐症状。磁共振成像（MRI）显示后循环区域梗死。高分辨率磁共振血管造影显示基底动脉存在裂隙样开窗畸形。该患者无传统血管危险因素或隐源性卒中的病因。患者经抗血小板治疗后神经功能缺损症状恢复，并给予阿司匹林预防性治疗。随访12个月后症状未复发。
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