急性期颈动脉支架置入术治疗茎突过长所致颈动脉夹层：一例报告
Carotid artery dissection due to elongated styloid process treated by acute phase carotid artery stenting: A case report.
作者信息
Okada Yasuaki, Mitsui Nobuyuki, Ozaki Hirokazu, Sanada Takahiro, Yamamoto Shota, Saito Masato, Kinoshita Manabu
机构信息
Department of Neurosurgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
出版信息
Surg Neurol Int. 2022 Apr 29;13:183. doi: 10.25259/SNI_47_2022. eCollection 2022.
BACKGROUND
Eagle's syndrome is famous for one of the causes of internal carotid artery dissection. The treatment strategy for the illness, however, is not well established. Here, we report a case of internal carotid dissection due to an elongated styloid process successfully treated by carotid artery stenting (CAS).
CASE DESCRIPTION
A 72-year-old male with temporary dysarthria and consciousness disorder was diagnosed to suffer from multiple cerebral infarctions due to Eagle's syndrome. A cerebral blood flow (CBF) study revealed decreased blood flow and a CAS was performed 15 days after admission to preserve antegrade blood flow, resulting in full recovery of the affected CBF.
CONCLUSION
We reported a case of vascular Eagle's syndrome in which the patient showed fluctuated neurological deficits successfully treated by CAS. Our experience suggests that cases of vascular Eagle's syndrome due to hemodynamic stress can be treated by CAS.
背景
鹰综合征是颈内动脉夹层形成的原因之一，广为人知。然而，该疾病的治疗策略尚未完全确立。在此，我们报告一例因茎突过长导致颈内动脉夹层，经颈动脉支架置入术（CAS）成功治疗的病例。
病例描述
一名72岁男性，出现短暂构音障碍和意识障碍，被诊断为因鹰综合征导致多发性脑梗死。脑血流（CBF）研究显示血流减少，入院15天后进行了CAS以维持顺行血流，受影响的CBF完全恢复。
结论
我们报告了一例血管性鹰综合征病例，该患者表现出波动的神经功能缺损，经CAS成功治疗。我们的经验表明，因血流动力学压力导致的血管性鹰综合征病例可通过CAS治疗。
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