Neurology, SUNY Upstate Medical University, Syracuse, New York, USA
Neurology, SUNY Upstate Medical University, Syracuse, New York, USA.
BMJ Case Rep. 2021 Mar 29;14(3):e241173. doi: 10.1136/bcr-2020-241173.
Spontaneous dissection of the major arteries of the neck is known to increase the risk of stroke or transient ischaemic attack in young and middle-aged adults. Most of the reported cases of arterial dissections in the neck involve one or both paired extracranial carotid or vertebral arteries. Spontaneous dissection of the bilateral internal carotid and vertebral arteries is extremely rare. We report a case of spontaneous bilateral internal carotid artery and vertebral artery dissection while using a prescribed pill for weight loss which contained amphetamine derivative. A review of literature is also provided.
颈部大血管自发性夹层已知会增加年轻和中年成年人中风或短暂性脑缺血发作的风险。大多数报道的颈部动脉夹层病例涉及一条或两条成对的颅外颈动脉或椎动脉。双侧颈内动脉和椎动脉自发性夹层极为罕见。我们报告了一例使用含有苯丙胺衍生物的减肥药丸时发生双侧颈内动脉和椎动脉自发性夹层的病例。还提供了文献复习。
