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颈动脉纤维肌发育不良。临床与影像学考量

Fibromuscular dysplasia of the carotid arteries. Clinical and radiological considerations.

作者信息

Maiuri F, Gallicchio B, Gangemi M, Briganti F, Iaconetta G, Corriero G

机构信息

Department of Neurosurgery and Service of Radiology, University of Naples, Italy.

出版信息

Clin Neurol Neurosurg. 1988;90(1):57-60. doi: 10.1016/s0303-8467(88)80011-8.

Abstract

Seven patients with fibromuscular dysplasia of the carotid arteries are described. Three were asymptomatic and four had ischemic troubles. Angiographically, 3 had a fibromuscular dysplasia of type 1 and 4 of type 2; one patient also had an associated aneurysm of the cervical internal carotid artery. The neurological troubles and their pathogenesis, the angiographic findings and the differential diagnosis of this angiopathy are briefly discussed; the surgical procedures and their risks are also analyzed.

摘要

本文描述了7例颈动脉纤维肌发育不良患者。其中3例无症状,4例有缺血性病变。血管造影显示,3例为1型纤维肌发育不良,4例为2型;1例患者还伴有颈内动脉瘤。本文简要讨论了神经病变及其发病机制、血管造影表现以及这种血管病变的鉴别诊断;还分析了手术方法及其风险。

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