应用血流导向支架治疗颈内动脉夹层伴霍纳氏综合征假性动脉瘤
Use of flow diverter stent for treatment of a cervical carotid artery dissection and pseudoaneurysm causing Horner's syndrome.
机构信息
Department of Neurosurgery, Tallahassee Neurological Clinic, Tallahassee, Florida, USA
Department of Neurosurgery, Tallahassee Neurological Clinic, Tallahassee, Florida, USA.
出版信息
BMJ Case Rep. 2021 May 10;14(5):e241156. doi: 10.1136/bcr-2020-241156.
A 28-year-old man in 2004 was identified with a spontaneous pseudoaneurysm and distal left cervical internal carotid artery (ICA) dissection. The patient was followed conservatively for 12 years with cross-sectional imaging. The patient was initially diagnosed with an acute left ICA dissection, with significant luminal narrowing. Follow-up imaging revealed the dissection was not completely healed, and a small pseudoaneurysm, about 4 mm in size, was formed in the distal left cervical ICA. During the 12-year observation period, the patient's pseudoaneurysm expanded from 4.0 mm to 9.0 mm, and the patient presented with ptosis, anisocoria and myosis. Flow diverter embolisation resulted in a radiographic cure of the pseudoaneurysm and resolution of Horner's syndrome.
2004 年，一名 28 岁男性被诊断为自发性假性动脉瘤和左侧颈内动脉（ICA）远端夹层。患者接受了 12 年的横断面影像学检查。该患者最初被诊断为急性左侧颈内动脉夹层，管腔明显变窄。随访影像学显示夹层未完全愈合，在左侧颈内动脉远端形成一个约 4mm 的小假性动脉瘤。在 12 年的观察期内，患者的假性动脉瘤从 4.0 毫米扩大到 9.0 毫米，患者出现上睑下垂、瞳孔不等大和瞳孔缩小。血流导向装置栓塞导致假性动脉瘤的影像学治愈和霍纳综合征的缓解。
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