川崎病的不寻常临床后遗症——青年成人有症状的颅外颈内动脉狭窄
Unusual Clinical Sequelae of Kawasaki Disease-Symptomatic Extracranial Internal Carotid Stenosis in Young Adult.
作者信息
Yokoya Shigeomi, Tamura Aiko, Hino Akihiko, Bamba Masamichi, Kato Toshikazu, Takezawa Hidesato, Goto Yukihiro, Oka Hideki, Fujii Akihiro, Hashimoto Youichi
机构信息
Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan.
Department of Neurology, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan.
出版信息
World Neurosurg. 2018 Sep;117:162-164. doi: 10.1016/j.wneu.2018.06.062. Epub 2018 Jun 18.
BACKGROUND
Kawasaki disease (KD) is an acute systemic vasculitis that primarily affects the coronary artery, but it does not commonly affect the carotid artery. Cerebral infarction (CI) with internal carotid artery stenosis (ICS) in patients with KD has not been reported until now. We report a patient with CI as a remote-phase complication of KD.
CASE PRESENTATION
A 32-year-old man presented with impaired consciousness. Magnetic resonance imaging and digital subtraction angiography confirmed CI and ICS. He successfully underwent carotid endarterectomy. The resected plaque had pathologic findings of KD, which suggested that the internal carotid artery suffered from chronic inflammation.
CONCLUSION
KD in childhood may cause symptomatic ICS as a sequela of a remote phase.
背景
川崎病（KD）是一种主要影响冠状动脉的急性全身性血管炎，但通常不影响颈动脉。迄今为止，尚未有KD患者并发颈内动脉狭窄（ICS）导致脑梗死（CI）的报道。我们报告一例KD远期并发症为CI的患者。
病例介绍
一名32岁男性出现意识障碍。磁共振成像和数字减影血管造影证实为CI和ICS。他成功接受了颈动脉内膜切除术。切除的斑块有KD的病理表现，提示颈内动脉患有慢性炎症。
结论
儿童期KD可能作为远期后遗症导致有症状的ICS。
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