锁骨下动脉血栓形成伴显著嗜睡和小脑综合征——一例报告

Prominent somnolence and cerebellar syndrome in subclavian artery thrombosis--a case report.

作者信息

Golcman L, Berginer V M, Szendro G, Hoda J, Louson Z

机构信息

Department of Surgery A, Soroka Medical Center, Beer Sheva, Israel.

出版信息

Angiology. 1987 Dec;38(12):912-5. doi: 10.1177/000331978703801207.

DOI:10.1177/000331978703801207

PMID:3425977

Abstract

A patient suffering from acute left subclavian artery thrombosis presented with an unusual syndrome of prominent somnolence, right cerebellar signs, and left upper extremity ischemia. Clinical, angiologic, and electrophysiologic studies confirmed a brain stem and reticular formation dysfunction due to vertebrobasilar ischemia. Urgent thromboembolectomy led to neurologic improvement and satisfactory revascularization of the involved upper limb.

摘要

一名患有急性左锁骨下动脉血栓形成的患者出现了一种不寻常的综合征，表现为显著的嗜睡、右小脑体征和左上肢缺血。临床、血管造影和电生理研究证实，由于椎基底动脉缺血导致脑干和网状结构功能障碍。紧急血栓切除术使神经功能得到改善，受累上肢实现了令人满意的血管再通。