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椎动脉重复畸形:4例病例系列报道

Duplication of the vertebral artery: A series of four cases.

作者信息

Kritikos Michael, Sharma Nikhil, Sedora-Roman Neda, Choudhri Omar, Pukenas Bryan, Hurst Robert, Kung David

机构信息

1 Department of Neurosurgery, University of Pennsylvania, Philadelphia, USA.

2 Department of Radiology, University of Pennsylvania, Philadelphia, USA.

出版信息

Interv Neuroradiol. 2018 Dec;24(6):596-600. doi: 10.1177/1591019918783973. Epub 2018 Jul 3.

DOI:10.1177/1591019918783973
PMID:29969960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6259345/
Abstract

INTRODUCTION

Duplication of the vertebral artery (VA) is a rare vascular variant, with less than 50 reported cases in the literature.

CASE SERIES

We present four cases of VA duplication and discuss the imaging findings, which highlight the rarely seen VA duplication.

DISCUSSION

VA duplication is generally considered to be an incidental finding. The VA is formed from the fusion of the longitudinal anastomoses that link the cervical intersegmental arteries, during the 32-40-day stage. The duplication of the VA is a clinically relevant finding for planning of head and neck surgery and neuro-interventional procedures.

摘要

引言

椎动脉重复是一种罕见的血管变异,文献报道病例少于50例。

病例系列

我们呈现4例椎动脉重复病例,并讨论影像学表现,这些表现突出了罕见的椎动脉重复。

讨论

椎动脉重复通常被认为是偶然发现。椎动脉由连接颈节段间动脉的纵向吻合支在第32至40天阶段融合形成。椎动脉重复对于头颈外科手术和神经介入操作的规划是一个具有临床意义的发现。

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本文引用的文献

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Duplicated Vertebral Artery : Literature Review and Clinical Significance.椎动脉重复畸形:文献综述与临床意义
J Korean Neurosurg Soc. 2018 Jan;61(1):28-34. doi: 10.3340/jkns.2017.0202.007. Epub 2017 Dec 29.
2
Three-Dimensional Time-of-Flight Magnetic Resonance Angiography Detection of Duplication of the Vertebral Artery in a Large Chinese Population.三维时间飞跃磁共振血管造影术在中国大样本人群中对椎动脉重复的检测
Med Sci Monit. 2016 Oct 17;22:3771-3777. doi: 10.12659/msm.897503.
3
Duplicated Origin of the Left Vertebral Artery: A Case Report and Embryological Review.左椎动脉重复起源:一例报告及胚胎学回顾
Neurointervention. 2016 Mar;11(1):50-4. doi: 10.5469/neuroint.2016.11.1.50. Epub 2016 Mar 3.
4
Cervical congenital spondylolytic spondylolisthesis associated with duplication of the vertebral artery: case report.颈椎先天性峡部裂性脊椎滑脱伴椎动脉重复畸形:病例报告
Spine J. 2014 Sep 1;14(9):e1-5. doi: 10.1016/j.spinee.2014.02.023. Epub 2014 Feb 15.
5
Fenestration and duplication of the vertebral artery: the anatomical and clinical points of view.椎动脉窗和重复畸形:解剖学和临床要点。
Clin Anat. 2013 Nov;26(8):933-43. doi: 10.1002/ca.22231. Epub 2013 Mar 28.
6
Origin and course of the extracranial vertebral artery: CTA findings and embryologic considerations.颅外椎动脉的起源和走行:CTA 表现与胚胎学考虑。
Clin Neuroradiol. 2012 Dec;22(4):327-33. doi: 10.1007/s00062-012-0171-0. Epub 2012 Sep 1.
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Congenital vertebral duplication: a predisposing risk factor for dissection.先天性脊柱重复畸形:夹层的一个潜在危险因素。
J Neurol Sci. 2012 Mar 15;314(1-2):161-2. doi: 10.1016/j.jns.2011.10.030. Epub 2011 Nov 16.
8
A five-vessel aortic arch with an anomalous origin of both vertebral arteries and an aberrant right subclavian artery.一个具有双侧椎动脉异常起源和右锁骨下动脉异常的五支血管主动脉弓。
Interv Neuroradiol. 2004 Dec 20;10(4):309-14. doi: 10.1177/159101990401000404. Epub 2005 Feb 8.
9
Vertebral artery duplication and aneurysms: 64-slice multidetector CT findings.椎动脉重复畸形与动脉瘤:64层螺旋CT表现
Br J Radiol. 2009 Nov;82(983):e216-8. doi: 10.1259/bjr/26005109.
10
Dual origin extracranial vertebral artery: case report and embryology.双源颅外椎动脉:病例报告与胚胎学
J Neuroimaging. 2008 Apr;18(2):173-6. doi: 10.1111/j.1552-6569.2007.00182.x. Epub 2007 Nov 6.