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高能钝性头部损伤后后交通动脉损伤及症状性血管痉挛:病例说明

Posterior communicating artery injury and symptomatic vasospasm after high-energy blunt head injury: illustrative case.

作者信息

Omar Nidal B, Chagoya Gustavo, Marotta Dario, Elsayed Galal, Harrigan Mark R

机构信息

Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama; and.

Alabama College of Osteopathic Medicine, Dothan, Alabama.

出版信息

J Neurosurg Case Lessons. 2021 Feb 22;1(8):CASE2053. doi: 10.3171/CASE2053.

Abstract

BACKGROUND

Most of the published literature pertaining to blunt traumatic cerebrovascular injury (BCVI) is focused on extracranial arterial injury. Studies of intracranial arterial injury are relatively uncommon.

OBSERVATIONS

The clinical course of a patient who sustained an injury to the right posterior communicating artery followed by infarction due to vasospasm after severe traumatic brain injury is presented, along with a focused literature review.

LESSONS

Intracranial BCVI is uncommon, and this report may serve to raise awareness of BCVI management and the importance of recognizing symptomatic vasospasm due to BCVI.

摘要

背景

大多数已发表的关于钝性创伤性脑血管损伤(BCVI)的文献都集中在颅外动脉损伤。颅内动脉损伤的研究相对较少。

观察

本文介绍了一名患者的临床病程,该患者在严重创伤性脑损伤后右侧后交通动脉受伤,随后因血管痉挛发生梗死,并进行了重点文献综述。

经验教训

颅内BCVI并不常见,本报告可能有助于提高对BCVI管理的认识以及认识到BCVI所致症状性血管痉挛的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/9ca1815a4802/CASE2053f1.jpg

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本文引用的文献

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Low Glasgow Coma Score in Traumatic Intracranial Hemorrhage Predicts Development of Cerebral Vasospasm.
World Neurosurg. 2018 Dec;120:e68-e71. doi: 10.1016/j.wneu.2018.07.143. Epub 2018 Jul 25.
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Traumatic subarachnoid hemorrhage related to ophthalmic artery avulsion: a case report.
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Medicine (Baltimore). 2017 Nov;96(45):e8523. doi: 10.1097/MD.0000000000008523.
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