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[主动脉弓分支非特异性大动脉炎的神经系统表现]

[Neurologic manifestations of nonspecific aorto-arteritis of the branches of the aortic arch].

作者信息

Kuperberg E B, Grozovskiĭ Iu L, Tsitsuashvili G A, Spiridonov A A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(9):17-22.

PMID:3232447
Abstract

The authors have analyzed the results of clinico-angiographic examination of 123 patients with nonspecific aorto-arteritis of the branches of the aortic arch. It has been shown that occlusive damage is most frequently localized in the subclavicular arteries: more than half the patients presented damage to proximal segments of the carotid arteries. Involvement of distal segments of the carotid arteries is a very rare finding in this disease. In one-third of the patients the disease was combined with damage to the renal arteries. Most characteristic for nonspecific aorto-arteritis of the branches of the aortic arch is the brachiocerebral syndrome. A five-year follow-up revealed a progressive nature of cerebrovascular insufficiency. A correlation was established between the severity of neurologic manifestations and extension of the occlusive lesion. It was also noted that similar damage to the vessels may lead to most diverse variants of clinical manifestations.

摘要

作者分析了123例主动脉弓分支非特异性大动脉炎患者的临床血管造影检查结果。结果显示,闭塞性损害最常发生于锁骨下动脉:超过半数患者的颈动脉近端段出现损害。在该疾病中,颈动脉远端段受累非常罕见。三分之一的患者该疾病合并肾动脉损害。主动脉弓分支非特异性大动脉炎最典型的是臂脑综合征。五年随访显示脑血管功能不全呈进行性。神经学表现的严重程度与闭塞性病变的范围之间建立了相关性。还注意到血管的类似损害可能导致临床表现的多种不同形式。

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