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双侧椎动脉连续夹层分离伴初始损伤迅速消退。

Sequential Bilateral Vertebral Artery Dissections with Prompt Resolution of Initial Insult.

作者信息

Morales Vidal Sarkis, Lara Carlos, Gordin Ari

机构信息

Department of Neurology, Loyola University Medical Center, Maguire Center, Maywood, Illinois, USA.

出版信息

Case Rep Neurol. 2020 Jun 11;12(2):189-198. doi: 10.1159/000506766. eCollection 2020 May-Aug.

Abstract

Vertebral arterial dissection is a known cause of stroke in young adults. There has been a multitude of cases of bilateral vertebral dissections, including progression from one vertebral artery to another. This case reports the curious sequential nature of the healing of a previously dissected vertebral artery with subsequent dissection of the collateral vertebral artery. Follow-up neuroimaging evaluation performed several months later showed healed bilateral vertebral artery. The potential trigger was neck cracking.

摘要

椎动脉夹层是年轻成年人中风的已知病因。已有大量双侧椎动脉夹层的病例报道,包括从一侧椎动脉进展至另一侧。本病例报告了一例先前夹层的椎动脉愈合后,其侧支椎动脉随后发生夹层的罕见连续情况。数月后进行的随访神经影像学评估显示双侧椎动脉愈合。潜在诱因是颈部扳响。

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