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老年患者自发性椎动脉夹层:病例报告。

Spontaneous vertebral artery dissection in an elder patient: a case report.

机构信息

Department of Central Radiology, Ibn Rochd University Hospital, Casablanca, Morocco.

出版信息

Pan Afr Med J. 2021 Dec 11;40:219. doi: 10.11604/pamj.2021.40.219.29825. eCollection 2021.

DOI:10.11604/pamj.2021.40.219.29825
PMID:35136482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8783300/
Abstract

Vertebrobasilar artery dissection (VBD) is a rare cause of posterior ischemic strokes. It is more likely to occur in young patients with a history of traumatism or hereditary connective tissue disorders. Spontaneous VBD is rare, especially in elder patients. This paper aims to report the case of an old patient that presented with a posterior ischemic stroke due to a spontaneous vertebral artery dissection (SVAD), linked to atherosclerosis. The diagnosis of SVAD was made by Magnetic resonance imaging (MRI) which is the gold standard technique to diagnose this pathology in a short time so the patient could receive adequate treatment.

摘要

椎基底动脉夹层(VBD)是引起后循环缺血性卒中的罕见病因。它更可能发生于有创伤史或遗传性结缔组织疾病病史的年轻患者中。自发性 VBD 较为少见,尤其在老年患者中。本文旨在报告 1 例老年患者因自发性椎动脉夹层(SVAD)引起的后循环缺血性卒中,该患者的 SVAD 与动脉粥样硬化相关。MRI 是诊断该病理的金标准技术,能够在短时间内做出诊断,从而使患者得到充分的治疗,因此该患者的诊断是基于 MRI 做出的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/33ecb6d251fc/PAMJ-40-219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/f484ad740da3/PAMJ-40-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/3f9a6c2a6cf8/PAMJ-40-219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/947acc1d3958/PAMJ-40-219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/33ecb6d251fc/PAMJ-40-219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/f484ad740da3/PAMJ-40-219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/3f9a6c2a6cf8/PAMJ-40-219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/947acc1d3958/PAMJ-40-219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/8783300/33ecb6d251fc/PAMJ-40-219-g004.jpg

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引用本文的文献

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Spontaneous Bilateral Vertebral Artery Dissection as a Rare Cause of Posterior Circulation Stroke in a Young Patient.自发性双侧椎动脉夹层动脉瘤是年轻患者后循环卒中的罕见病因。
Cureus. 2024 Jul 30;16(7):e65738. doi: 10.7759/cureus.65738. eCollection 2024 Jul.

本文引用的文献

1
Vertebral artery dissection: spectrum of imaging findings with emphasis on angiography and correlation with clinical presentation.椎动脉夹层:影像学表现谱,重点关注血管造影及与临床表现的相关性
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Vertebral artery dissection.椎动脉夹层
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Carotid and vertebral artery dissections: three-dimensional time-of-flight MR angiography and MR imaging versus conventional angiography.
颈动脉和椎动脉夹层:三维时间飞跃磁共振血管造影及磁共振成像与传统血管造影的比较
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