颈动脉血管外皮瘤伴胎儿型后大脑动脉变异，伪装为复发性同侧隐源性缺血性脑卒中。
Carotid artery web with fetal posterior cerebral artery variant masquerading as recurrent ipsilateral cryptogenic ischaemic strokes.
机构信息
Department of Vascular Surgery, Army Hospital Research and Referral, New Delhi, Delhi, India
Department of Vascular Surgery, Army Hospital Research and Referral, New Delhi, Delhi, India.
出版信息
BMJ Case Rep. 2021 Dec 30;14(12):e246421. doi: 10.1136/bcr-2021-246421.
A 31-year-old woman was referred to vascular surgeons with the history of recurrent ischaemic strokes in two cerebral artery territories over a span of 1 year. On investigation, she was found to have a right internal carotid artery web, with thrombus and a fetal right posterior cerebral artery (PCA), which explained the ischaemic strokes in right middle cerebral and PCA territory. The rare association of these two infrequent entities makes the case a singular one in the medical literature. Successful surgical excision was done after multidisciplinary teamwork. The carotid web was excised as part of carotid artery endarterectomy and repaired with great saphenous vein patch angioplasty. The patient made a good recovery.
一位 31 岁女性，在 1 年的时间内出现两次大脑中动脉供血区域的反复发作性缺血性脑卒中，被转介至血管外科医生处。在调查中，发现她的右侧颈内动脉有血管环，附有血栓和右侧胚胎型后大脑动脉（PCA），这解释了她的右侧大脑中动脉和 PCA 区域的缺血性脑卒中。这两种罕见实体的罕见关联使该病例在医学文献中成为一个独特的病例。通过多学科团队合作，成功地进行了外科切除。颈动脉血管环作为颈动脉内膜切除术的一部分被切除，并使用大隐静脉补片血管成形术进行修复。患者恢复良好。
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