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当脂肪栓塞导致颅内颈内动脉闭塞时，尝试进行脑拯救性颞浅动脉-大脑中动脉搭桥术。

When the fat hits the brain-salvage STA-MCA bypass for an intracranial ICA occlusion due to a fat embolus.

作者信息

Van Der Veken Jorn, Lo Presti Anna, Mulcahy Michael J, Stoodley Marcus Andrew

机构信息

Department of Clinical Medicine, Macquarie University, Sydney, New South Wales, Australia.

出版信息

BMJ Neurol Open. 2020 Jan 9;2(1):e000017. doi: 10.1136/bmjno-2019-000017. eCollection 2020.

DOI:10.1136/bmjno-2019-000017
PMID:33681773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7871712/
Abstract

BACKGROUND

Large fat embolus is a rare but potential reversible cause of ischaemic stroke.

METHODS AND RESULTS

We describe the neurosurgical management of a complete right internal carotid artery occlusion due to a large fat embolus, caused by a mitral valve replacement.

CONCLUSION

Knowledge of acute cerebral ischaemia due to large fat embolism and its hallmark 'hypodense artery' is mandatory. Extracranial to intracranial bypass is a feasible rescue treatment after failure of endovascular embolectomy.

摘要

背景

大脂肪栓子是缺血性卒中一种罕见但可能可逆的病因。

方法与结果

我们描述了一例因二尖瓣置换术导致大脂肪栓子引起的右侧颈内动脉完全闭塞的神经外科治疗。

结论

了解大脂肪栓塞所致急性脑缺血及其特征性“低密度动脉”至关重要。血管内取栓失败后，颅外至颅内搭桥是一种可行的挽救治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/3776faebef38/bmjno-2019-000017f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/7010df2f67b6/bmjno-2019-000017f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/237b8e668525/bmjno-2019-000017f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/46b9a9624e89/bmjno-2019-000017f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/fb938b8f87ea/bmjno-2019-000017f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/3776faebef38/bmjno-2019-000017f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/7010df2f67b6/bmjno-2019-000017f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/237b8e668525/bmjno-2019-000017f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/46b9a9624e89/bmjno-2019-000017f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/fb938b8f87ea/bmjno-2019-000017f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/7871712/3776faebef38/bmjno-2019-000017f05.jpg

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From the diagnosis to the therapeutic management: cerebral fat embolism, a clinical challenge.从诊断到治疗管理：脑脂肪栓塞，一项临床挑战。
Int J Gen Med. 2019 Jan 4;12:39-48. doi: 10.2147/IJGM.S177407. eCollection 2019.
3
Cerebral Fat Embolism as Complication of Facial Fat Graft: Retrospective Analysis of Clinical Characteristics, Treatment, and Prognosis.
面部脂肪移植并发症之脑脂肪栓塞：临床特征、治疗及预后的回顾性分析
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Cardiol J. 2018;25(1):155-157. doi: 10.5603/CJ.2018.0015.
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Predictive Value of Pulse Pressure in Acute Ischemic Stroke for Future Major Vascular Events.脉压对急性缺血性脑卒中未来主要血管事件的预测价值。
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