在一名35岁软骨发育不全男性患者中使用Solumbra技术成功进行机械取栓术：病例报告
Successful Mechanical Thrombectomy Using Solumbra Technique In a 35-year-old Man With Achondroplasia: a case report.
作者信息
Cho Jun-Soo, Kim Sang-Uk, Kim Hyun-Jeong, Yang Ji-Ho, Lee Il-Woo, Lee Hyung-Jin
机构信息
Department of Neurosurgery, Deajeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Republic of Korea.
Department of Radiology, Deajeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Republic of Korea.
出版信息
J Cerebrovasc Endovasc Neurosurg. 2019 Mar;21(1):33-39. doi: 10.7461/jcen.2019.21.1.33. Epub 2019 Mar 31.
BACKGROUND
Achondroplasia is one of the most common types of dwarfism and is inherited as an autosomal dominant disease. The patients with achondroplasia suffer from various complications such as craniofacial, central nervous system, spinal, respiratory and cardiac anomalies.
CASE DESCRIPTION
We report a case of a 35-year-old man with achondroplasia who visited the emergency room with right hemiplegia and aphasia within 6 hours after onset. An Initial CT angiography showed the total occlusion of a left internal cerebral artery due to the thrombus. We treated the patient with endovascular thrombectomy using "Solumbra technique" with balloon guiding catheter. The procedure was successful and result was completely recanalized with Thrombolysis in Cerebral Infarction (TICI) scale 3 and the weakness also improved from grade II to grade IV.
CONCLUSION
Acute ischemic stroke patients with achondroplasia could be treated with mechanical thrombectomy.
背景
软骨发育不全是最常见的侏儒症类型之一，是一种常染色体显性遗传病。软骨发育不全患者会出现各种并发症，如颅面、中枢神经系统、脊柱、呼吸和心脏异常。
病例描述
我们报告一例35岁软骨发育不全男性患者，发病后6小时内因右侧偏瘫和失语就诊于急诊室。初次CT血管造影显示左侧大脑中动脉因血栓完全闭塞。我们使用球囊引导导管采用“Solumbra技术”对患者进行血管内血栓切除术治疗。手术成功，脑梗死溶栓（TICI）分级为3级，血管完全再通，肌力也从二级改善至四级。
结论
软骨发育不全的急性缺血性卒中患者可采用机械取栓治疗。
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