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一名人类白细胞抗原（HLA）B27阳性年轻男性因自发性颈内动脉夹层导致的急性缺血性卒中

Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male.

作者信息

Huq Muhammad Rezeul, Kabir Humayun, Chowdhury Md Ismail, Kawnayn Ghulam

机构信息

Neurology, Combined Military Hospital, Dhaka, BGD.

出版信息

Cureus. 2022 Mar 8;14(3):e22963. doi: 10.7759/cureus.22963. eCollection 2022 Mar.

DOI:10.7759/cureus.22963
PMID:35411276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8989624/
Abstract

Carotid artery dissection is a significant cause of stroke in young patients. Here, we report a 33-year-old male who presented with right homonymous hemianopia and paresthesia of the right side of the body. Magnetic resonance imaging (MRI) of the brain revealed an acute infarct in the left parieto-occipital region. Magnetic resonance angiography (MRA) and duplex ultrasonography (USG) of the neck vessels suggested the left internal carotid artery dissection as the underlying cause. The patient was a known human leukocyte antigen (HLA) B27 and had a history of a previous attack of uveitis. This case report will raise awareness regarding the possible association of HLA B27 with the dissection of neck vessels.

摘要

颈动脉夹层是年轻患者中风的重要原因。在此，我们报告一名33岁男性，他出现右侧同向性偏盲和身体右侧感觉异常。脑部磁共振成像（MRI）显示左侧顶枕叶区域有急性梗死灶。颈部血管的磁共振血管造影（MRA）和双功超声检查（USG）提示左侧颈内动脉夹层为潜在病因。该患者已知人类白细胞抗原（HLA）B27阳性，并有过葡萄膜炎发作史。本病例报告将提高对HLA B27与颈部血管夹层可能关联的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2758/8989624/431f16181002/cureus-0014-00000022963-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2758/8989624/44b69f67d36d/cureus-0014-00000022963-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2758/8989624/645c3c3eaf72/cureus-0014-00000022963-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2758/8989624/431f16181002/cureus-0014-00000022963-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2758/8989624/44b69f67d36d/cureus-0014-00000022963-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2758/8989624/645c3c3eaf72/cureus-0014-00000022963-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2758/8989624/431f16181002/cureus-0014-00000022963-i03.jpg

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Spontaneous cervical artery dissection in patients aged over 70 years: two cases and systematic literature review.70岁以上患者的自发性颈内动脉夹层：两例病例及系统文献综述
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