一例合并颈内动脉狭窄、鹰综合征及颈内动脉迂曲患者的外科治疗：颈动脉四种病变病例报告
Surgical Management of a Patient with an Internal Carotid Artery Stenosis, Eagle Syndrome, and Internal Carotid Artery Tortuosity: A Case of Four Pathologies of the Carotid Arteries.
作者信息
Keshelava Grigol, Kurdadze Rati, Tsiklauri Devi
机构信息
Department of Vascular Surgery, Helsicore, Tbilisi, Georgia.
出版信息
EJVES Vasc Forum. 2021 Jan 20;50:37-39. doi: 10.1016/j.ejvsvf.2021.01.002. eCollection 2021.
INTRODUCTION
In 1937, W.W. Eagle first described two clinical cases of elongated styloid process causing compression of adjacent anatomical structures. A case of left internal carotid artery (ICA) stenosis, Eagle syndrome (bilateral), ICA tortuosity, and occlusion of the right carotid arteries is presented.
REPORT
A 67 year old man was referred following ischaemic stroke two months previously. Computed tomography (CT) revealed the pathologies described. Intervention was performed under general anaesthesia. The digastric muscle was transected, and the styloid process was resected. Carotid endarterectomy with end to end anastomosis between the crossed ends of the ICA was carried out using a temporary shunt due to occlusion of the contralateral carotid arteries. The patient was discharged on the third post-operative day.
DISCUSSION
The case described shows that one stage surgical treatment of ICA stenosis, coiling, and Eagle syndrome gives good results.
引言
1937年，W.W.伊格尔首次描述了两例茎突过长导致相邻解剖结构受压的临床病例。本文报告一例左侧颈内动脉（ICA）狭窄、伊格尔综合征（双侧）、ICA迂曲以及右侧颈动脉闭塞的病例。
报告
一名67岁男性在两个月前发生缺血性中风后前来就诊。计算机断层扫描（CT）显示了上述病变。在全身麻醉下进行了干预。切断了二腹肌，并切除了茎突。由于对侧颈动脉闭塞，使用临时分流管进行了颈动脉内膜切除术，并在ICA交叉端之间进行了端端吻合。患者术后第三天出院。
讨论
所描述的病例表明，对ICA狭窄、盘绕和伊格尔综合征进行一期手术治疗可取得良好效果。
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