进行性球部症状，由血管性脑干压迫所致。
Progressive bulbar symptomatology due to vascular brainstem compression.
机构信息
Neurology, Lewisham and Greenwich NHS Trust, London, UK
Radiology, Lewisham and Greenwich NHS Trust, London, UK.
出版信息
BMJ Case Rep. 2021 Mar 15;14(3):e238323. doi: 10.1136/bcr-2020-238323.
Abstract
Symptomatic brainstem compression from vertebral artery dolichoectasia is rare. There are no recognised diagnostic or treatment criteria to guide management of this disease. We report a case of medullary compression and cerebral ischaemia from an enlarged and tortuous vertebral artery. Our patient developed progressive dysphonia and dysphagia. Cerebral MRI revealed compression of the medulla oblongata by a right ectatic vertebral artery and a right occipital lobe infarct. Other causes of bulbar dysfunction were ruled out. He was treated with anticoagulation and underwent percutaneous endoscopic gastrostomy. We review selected literature on the presentation, diagnosis and management of this rare neurologic condition.
摘要
椎动脉梭形扩张导致的有症状脑干压迫较为罕见。目前尚无公认的诊断或治疗标准来指导这种疾病的管理。我们报告了一例由扩张和迂曲的椎动脉引起的延髓压迫和脑缺血病例。我们的患者出现进行性发声和吞咽困难。脑部 MRI 显示右侧扩张椎动脉压迫延髓，右侧枕叶梗死。排除了其他球部功能障碍的原因。他接受了抗凝治疗，并进行了经皮内镜胃造口术。我们回顾了关于这种罕见神经疾病的临床表现、诊断和治疗的选定文献。
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Vertebral Artery Compression Syndrome.椎动脉压迫综合征
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Symptomatic medulla compression by vertebral artery.椎动脉所致的有症状的延髓受压
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