Jianu Dragoş Cătălin, Jianu Silviana Nina, Miclăuş Graţian Dragoslav, Munteanu Georgiana, Dan Traian Flavius, Bârsan Claudia, Munteanu Mihnea, Stanca Horia Tudor, Motoc Andrei Gheorghe Marius, Creţu Octavian Marius
Department of Anatomy and Embryology, "Victor Babeş" University of Medicine and Pharmacy, Timişoara, Romania;
Rom J Morphol Embryol. 2018;59(4):1279-1285.
The congenital anomalies of the supra-aortic arteries and their branches as potential risk factors for cerebrovascular insufficiency are not yet fully investigated and clarified. This report describes the case of a 68-year-old man who was admitted in our Clinic for an acute ischemic stroke in the vertebrobasilar territory. Extracranial color-coded duplex sonography (CCDS) and computed tomography angiography revealed a combination of congenital anomalies of the neck arteries: left internal carotid artery hypoplasia, left common carotid artery hypoplasia, right vertebral artery hypoplasia and the emergence of the left vertebral artery directly from the aortic arch. The aim of this article is to emphasize the value of CCDS as an accurate, non-invasive method of assessing the neck arteries and, also, the importance of the morphological anomalies of the carotid and vertebral arteries in the cerebral hemodynamics.
作为脑血管供血不足潜在危险因素的主动脉弓及其分支的先天性异常尚未得到充分研究和阐明。本报告描述了一名68岁男性的病例，他因椎基底动脉区域急性缺血性卒中入住我们的诊所。颅外彩色编码双功超声（CCDS）和计算机断层血管造影显示颈部动脉先天性异常的组合：左颈内动脉发育不全、左颈总动脉发育不全、右椎动脉发育不全以及左椎动脉直接从主动脉弓发出。本文的目的是强调CCDS作为一种评估颈部动脉的准确、非侵入性方法的价值，以及颈动脉和椎动脉形态异常在脑血流动力学中的重要性。
