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颈动脉残端综合征:同侧复发性中风的罕见病因。

Carotid Stump Syndrome: An Uncommon Cause of Recurrent Ipsilateral Strokes.

作者信息

Nagalapuram Vishnu, Tharumia Jagadeesan Cindrel, Ramasamy Balakrishnan

机构信息

Internal Medicine, The University of Alabama at Birmingham (UAB) School of Medicine, Montgomery, USA.

Internal Medicine, Creighton University, St.Joseph's Hospital and Medical Center, Phoenix, USA.

出版信息

Cureus. 2021 Jan 13;13(1):e12688. doi: 10.7759/cureus.12688.

Abstract

Carotid stump syndrome is a rare cause of recurrent cerebrovascular accidents. Carotid stump is the patent proximal remnant below the completely occluded internal carotid artery (ICA). Cerebral and retinal ischemic symptoms seen after complete occlusion of ipsilateral ICA is known as carotid stump syndrome. Known for causing recurrent ipsilateral cerebrovascular accidents, it is a potentially treatable entity. The therapeutic goal is medical management with a statin, dual anti-platelet therapy along with surgical intervention either with an endovascular repair or carotid endarterectomy. Herein, we present a case of carotid stump syndrome managed medically.

摘要

颈动脉残端综合征是复发性脑血管意外的罕见病因。颈动脉残端是完全闭塞的颈内动脉(ICA)下方的开放近端残余部分。同侧ICA完全闭塞后出现的脑和视网膜缺血症状称为颈动脉残端综合征。它因可导致复发性同侧脑血管意外而闻名,是一种潜在可治疗的病症。治疗目标是采用他汀类药物进行药物治疗、双重抗血小板治疗以及通过血管内修复或颈动脉内膜切除术进行手术干预。在此,我们报告一例采用药物治疗的颈动脉残端综合征病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5092/7880803/3936aa298dca/cureus-0013-00000012688-i01.jpg

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