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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.

DOI:10.3171/CASE2053
PMID:35855314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9241346/
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/9241346/991876ad8600/CASE2053f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/9ca1815a4802/CASE2053f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/90159f9de166/CASE2053f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/c1362b593bc7/CASE2053f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/7e994bdaac42/CASE2053f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/991876ad8600/CASE2053f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/9ca1815a4802/CASE2053f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/90159f9de166/CASE2053f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/c1362b593bc7/CASE2053f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/7e994bdaac42/CASE2053f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bde/9241346/991876ad8600/CASE2053f5.jpg

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本文引用的文献

1
Diffuse Traumatic Subarachnoid Hemorrhage Mimicking Aneurysmal Bleeding Secondary to Ophthalmic Artery Avulsion: Case Report and Review of the Literature.弥漫性外伤性蛛网膜下腔出血误诊为眼动脉离断所致的动脉瘤性出血：病例报告及文献复习。
World Neurosurg. 2020 Nov;143:513-517. doi: 10.1016/j.wneu.2020.07.011. Epub 2020 Jul 9.
2
Low Glasgow Coma Score in Traumatic Intracranial Hemorrhage Predicts Development of Cerebral Vasospasm.创伤性颅内出血患者格拉斯哥昏迷评分低预示着脑血管痉挛的发生。
World Neurosurg. 2018 Dec;120:e68-e71. doi: 10.1016/j.wneu.2018.07.143. Epub 2018 Jul 25.
3
Traumatic subarachnoid hemorrhage related to ophthalmic artery avulsion: a case report.
与眼动脉撕脱相关的创伤性蛛网膜下腔出血：一例报告
Acta Neurochir (Wien). 2018 May;160(5):913-917. doi: 10.1007/s00701-018-3486-z. Epub 2018 Feb 14.
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Optic nerve injury-associated blunt cerebrovascular injury: Three case reports.视神经损伤相关的钝性脑血管损伤：三例报告
Medicine (Baltimore). 2017 Nov;96(45):e8523. doi: 10.1097/MD.0000000000008523.
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Delayed massive epistaxis from traumatic intracranial aneurysm after blunt facial injury.钝性面部损伤后创伤性颅内动脉瘤导致的延迟性大量鼻出血。
Acute Med Surg. 2016 Sep 4;4(1):131-134. doi: 10.1002/ams2.239. eCollection 2017 Jan.
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Subarachnoid hemorrhage secondary to ophthalmic artery avulsion.
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Traumatic intracranial aneurysm in blunt trauma.钝性创伤所致创伤性颅内动脉瘤
Brain Inj. 2015;29(5):601-6. doi: 10.3109/02699052.2015.1004559. Epub 2015 Mar 19.
8
Traumatic enucleation with avulsion of the ophthalmic artery resulting in aneurysm-like subarachnoid hemorrhage.外伤性眼球摘除伴眼动脉撕脱导致动脉瘤样蛛网膜下腔出血。
J Neurosurg. 2009 Oct;111(4):653-7. doi: 10.3171/2009.2.17687.
9
Traumatic intracranial aneurysm: a brief review.创伤性颅内动脉瘤：简要综述。
J Clin Neurosci. 2008 Jun;15(6):609-12. doi: 10.1016/j.jocn.2007.11.006. Epub 2008 Apr 18.
10
Cerebral vasospasm following post-traumatic subarachnoid hemorrhage evaluated by transcranial Doppler ultrasonography.经颅多普勒超声评估创伤后蛛网膜下腔出血后的脑血管痉挛
J Neurol Sci. 1993 Oct;119(1):1-7. doi: 10.1016/0022-510x(93)90185-2.