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颈动脉型 Eagl 综合征:一种不常见的缺血性脑卒中病因。

Carotid artery type of Eagle syndrome: an uncommon cause of ischemic stroke.

机构信息

Department of Neurology, General Hospital Celje, Oblakova ulica 5, 3000, Celje, Slovenia.

Faculty of Medicine, University of Ljubljana, Vrazov trg 2, SI-1000, Ljubljana, Slovenia.

出版信息

Wien Klin Wochenschr. 2023 Mar;135(5-6):158-161. doi: 10.1007/s00508-022-02072-5. Epub 2022 Aug 27.

Abstract

Acute ischemic stroke in patients younger than the age of 50 years is a rare occurrence that results in high mortality and substantial loss of functional years of life. Internal carotid artery dissection (CAD) presents a rare, but serious condition that needs to be fully evaluated and carefully treated, as it may lead to an acute ischemic stroke in all, but mostly in younger patients. A possible cause for CAD, the carotid artery type of Eagle syndrome (ESy), is atypical and underrecognized. In this case report we present a case of a young patient with carotid artery type of ESy, resulting in a severe acute ischemic stroke. Only recognition of such a syndrome in its early symptomatic phase could allow appropriate management to prevent this kind of a deleterious outcome.

摘要

50 岁以下的急性缺血性脑卒中是一种罕见的疾病,会导致高死亡率和大量丧失功能的生命年。颈内动脉夹层(CAD)是一种罕见但严重的疾病,需要进行全面评估和仔细治疗,因为它可能导致所有患者,尤其是年轻患者发生急性缺血性脑卒中。CAD 的一个可能病因是颈动脉型 Ehlers-Danlos 综合征(ESy),其表现不典型且认识不足。在本病例报告中,我们介绍了一例颈动脉型 ESy 的年轻患者,其导致严重的急性缺血性脑卒中。只有在早期有症状阶段识别出这种综合征,才能进行适当的治疗来预防这种有害的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0647/9419143/8e7c921d2b28/508_2022_2072_Fig1_HTML.jpg

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