Yanagawa Taro, Harada Yoichi, Kiyomoto Masaru, Yamashita Keiichi, Hatayama Toru
Department of Neurosurgery, Mito Brain Heart Center, 4028 Aoyagi, Mito, Ibaraki 310-0004, Japan.
Radiol Case Rep. 2020 Feb 5;15(4):375-378. doi: 10.1016/j.radcr.2020.01.013. eCollection 2020 Apr.
Occurrence of acute middle cerebral artery occlusion with common carotid artery occlusion is rare, and its treatment may be complicated. If the approach route cannot be secured because of carotid artery occlusion, endovascular embolectomy may not be indicated. The best treatment approach for such cases remains controversial. A woman in her 70s was transferred to our hospital in ambulance following a sudden onset of dysarthria and left hemiparesis. Magnetic resonance imaging revealed an ischemic lesion in the right basal ganglia and occlusion of the right common carotid and intracranial middle cerebral arteries. Emergency embolectomy was performed for acute middle cerebral artery occlusion. Postoperative magnetic resonance imaging revealed complete recovery of the right middle cerebral artery blood flow. Emergency embolectomy can effectively treat acute middle cerebral artery occlusion with common carotid artery occlusion.
大脑中动脉急性闭塞合并颈总动脉闭塞的情况罕见，其治疗可能较为复杂。如果由于颈动脉闭塞而无法确保入路途径，可能不适合进行血管内取栓术。此类病例的最佳治疗方法仍存在争议。一名70多岁的女性在突然出现构音障碍和左侧偏瘫后被救护车送往我院。磁共振成像显示右侧基底节区有缺血性病变，右侧颈总动脉和颅内大脑中动脉闭塞。对大脑中动脉急性闭塞进行了急诊取栓术。术后磁共振成像显示右侧大脑中动脉血流完全恢复。急诊取栓术可有效治疗大脑中动脉急性闭塞合并颈总动脉闭塞。
