Division of Neurology and Gerontology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Japan.
Intern Med. 2022 Aug 15;61(16):2483-2487. doi: 10.2169/internalmedicine.8931-21. Epub 2022 Feb 1.
Spontaneous dissection of the brachiocephalic artery is rare, and there is insufficient evidence for optimal treatment. We herein report a case of ischemic stroke due to spontaneous dissection of the brachiocephalic to the right common carotid artery. The patient was treated medically but died suddenly 18 days after the onset because of aortic dissection. Although almost all reported cases of spontaneous dissection of the brachiocephalic artery have had good outcomes with medical management, it is important to note that sudden development of aortic dissection might occur, even without initial findings suggestive of this condition.
头臂动脉自发性夹层较为罕见，其最佳治疗方法的证据尚不充分。本文报告了一例因头臂动脉至右颈总动脉自发性夹层导致的缺血性脑卒中。该患者接受了药物治疗，但由于主动脉夹层，在发病后 18 天突然死亡。尽管几乎所有报道的头臂动脉自发性夹层病例经药物治疗后均有良好的结局，但需要注意的是，即使没有提示该疾病的初始发现，也可能突然发生主动脉夹层。
