Department of Radiology, The First Hospital of Jilin University, Xinmin St. #71, Changchun, 130021, Jilin, China.
Department of Neurology, The First Hospital of Jilin University, Changchun, Jilin, China.
BMC Neurol. 2020 Nov 25;20(1):428. doi: 10.1186/s12883-020-02006-6.
In recent years, the incidence of stroke has gradually increased in young people. There are many reasons causing stroke, including atherosclerosis, artery embolization, and cervical artery dissection and so on. However, cervical artery dissection is a major cause of stroke in young people. We present a case of ischemic stroke caused by dissection, whose distal vascular occlusion due to detachment of the thrombosis in the right internal carotid artery.
A 33-year-old male patient was admitted to the hospital because of stroke. Imaging examination showed that there was no visualization of the right middle cerebral artery and there were a large number of mural thrombus in the C1 segment of the right internal carotid artery. After emergency surgery, the patient had vascular recanalization and the symptoms were significantly improved. Magnetic resonance imaging showed a high signal in the C1 segment of the right internal carotid artery, the abnormal signal disappeared after antiplatelet therapy.
When a patient has symptoms of stroke, we need to explore the root cause of stroke. Especially in young people, cervical artery dissection is an important reason that can't be ignored. Through review and analysis of this case, we hope to improve the understanding of radiologists and clinicians about the cervical artery dissection, reduce the rate of misdiagnosis, and improve patients' prognosis.
近年来，年轻人中风的发病率逐渐增高。引起中风的原因有很多，包括动脉粥样硬化、动脉栓塞、颈动脉夹层等。然而，颈动脉夹层是年轻人中风的一个主要原因。我们报告了一例由夹层引起的缺血性中风，其血栓脱落导致右颈内动脉 C1 段远端血管闭塞。
一名 33 岁男性患者因中风入院。影像学检查显示右侧大脑中动脉未显影，右颈内动脉 C1 段有大量附壁血栓。行急诊手术后，患者血管再通，症状明显改善。磁共振成像显示右颈内动脉 C1 段呈高信号，抗血小板治疗后异常信号消失。
当患者出现中风症状时，我们需要探寻中风的根本原因。特别是在年轻人中，颈动脉夹层是一个不容忽视的重要原因。通过对该病例的回顾和分析，我们希望提高放射科医生和临床医生对颈动脉夹层的认识，降低误诊率，改善患者预后。
